Coniam Dental Llc | |
15341 W Waddell Rd Ste B-107 Surprise AZ 85379-5169 | |
(623) 233-1020 | |
Not Available |
Full Name | Coniam Dental Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 15341 W Waddell Rd Ste B-107, Surprise, Arizona |
Authorized Official Name and Position | Michael Coniam (OWNER) |
Authorized Official Contact | 6025109838 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Coniam Dental Llc 10752 W Prickly Pear Trl Peoria AZ 85383-9691 Ph: (602) 510-9838 | Coniam Dental Llc 15341 W Waddell Rd Ste B-107 Surprise AZ 85379-5169 Ph: (623) 233-1020 |
NPI Number | 1235913872 |
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Provider Enumeration Date | 08/23/2023 |
Last Update Date | 08/23/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235913872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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