| Dental Depot Of 88th & Thunderbird, Pllc | |
|
8850 W Thunderbird Rd Peoria AZ 85381-4812 | |
| (623) 352-3123 | |
| Not Available |
| Full Name | Dental Depot Of 88th & Thunderbird, Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8850 W Thunderbird Rd, Peoria, Arizona |
| Authorized Official Name and Position | Gaylon Zissa (DIRECTOR OF PROVIDER RELATIONS) |
| Authorized Official Contact | 4059458941 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Depot Of 88th & Thunderbird, Pllc 2828 Nw 30th St Oklahoma City OK 73112-7404 Ph: (623) 352-3123 | Dental Depot Of 88th & Thunderbird, Pllc 8850 W Thunderbird Rd Peoria AZ 85381-4812 Ph: (623) 352-3123 |
| NPI Number | 1376380170 |
|---|---|
| Provider Enumeration Date | 07/10/2024 |
| Last Update Date | 07/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376380170 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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