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 |
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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 |
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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 |
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Provider Enumeration Date | 07/10/2024 |
Last Update Date | 07/10/2024 |
Identifier | Type | State | Issuer |
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1376380170 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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