| Dental On Central Tatum Point | |
|
4747 E Bell Rd Suite 7 Phoenix AZ 85032-2301 | |
| (602) 507-6155 | |
| (602) 507-6155 |
| Full Name | Dental On Central Tatum Point |
|---|---|
| Speciality | Dentist |
| Location | 4747 E Bell Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Holly Marie Kozerski (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 6022661776 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental On Central Tatum Point 5133 N Central Ave Suite 200 Phoenix AZ 85012-1438 Ph: (602) 507-6155 | Dental On Central Tatum Point 4747 E Bell Rd Suite 7 Phoenix AZ 85032-2301 Ph: (602) 507-6155 |
| NPI Number | 1083094205 |
|---|---|
| Provider Enumeration Date | 06/03/2015 |
| Last Update Date | 06/03/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083094205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D6700 (Arizona) | Primary |
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