| Corporation 5 | |
|
8279 W Lake Pleasant Pkwy Suite 110 Peoria AZ 85382 | |
| (623) 878-0120 | |
| (623) 825-6820 |
| Full Name | Corporation 5 |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 8279 W Lake Pleasant Pkwy, Peoria, Arizona |
| Authorized Official Name and Position | Linda Raskansky (SECRETARY) |
| Authorized Official Contact | 6238780120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Corporation 5 8279 W Lake Pleasant Pkwy Suite 110 Peoria AZ 85382 Ph: (623) 878-0120 | Corporation 5 8279 W Lake Pleasant Pkwy Suite 110 Peoria AZ 85382 Ph: (623) 878-0120 |
| NPI Number | 1689756819 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689756819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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