| Classical Dentistry | |
|
10111 N El Mirage Rd El Mirage AZ 85335-3605 | |
| (623) 582-3909 | |
| (623) 582-3902 |
| Full Name | Classical Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 10111 N El Mirage Rd, El Mirage, Arizona |
| Authorized Official Name and Position | Fawne E Pryor (INS MGR) |
| Authorized Official Contact | 6235823909 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Classical Dentistry 10111 N El Mirage Rd El Mirage AZ 85335-3605 Ph: (623) 582-3909 | Classical Dentistry 10111 N El Mirage Rd El Mirage AZ 85335-3605 Ph: (623) 582-3909 |
| NPI Number | 1760611552 |
|---|---|
| Provider Enumeration Date | 07/14/2009 |
| Last Update Date | 07/14/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760611552 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7345 (Arizona) | Primary |
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