Desert Rose Dentistry, Llc | |
18001 N 79th Ave A-8 Glendale AZ 85308-8388 | |
(623) 878-8000 | |
Not Available |
Full Name | Desert Rose Dentistry, Llc |
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Speciality | Dentist |
Location | 18001 N 79th Ave, Glendale, Arizona |
Authorized Official Name and Position | Fawne E Pryor (MGR) |
Authorized Official Contact | 6235823909 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Desert Rose Dentistry, Llc 18001 N 79th Ave A-8 Glendale AZ 85308-8388 Ph: (623) 878-8000 | Desert Rose Dentistry, Llc 18001 N 79th Ave A-8 Glendale AZ 85308-8388 Ph: (623) 878-8000 |
NPI Number | 1386887719 |
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Provider Enumeration Date | 04/15/2009 |
Last Update Date | 04/15/2009 |
Identifier | Type | State | Issuer |
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1386887719 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | D6249 (Arizona) | Primary |
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