Dr Wisdom Teeth | |
287 E Hunt Hwy Ste 101 San Tan Valley AZ 85143-5096 | |
(833) 394-7366 | |
Not Available |
Full Name | Dr Wisdom Teeth |
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Speciality | Clinic/center - Dental |
Location | 287 E Hunt Hwy Ste 101, San Tan Valley, Arizona |
Authorized Official Name and Position | Jeffrey Fenn (OWNER) |
Authorized Official Contact | 7023257627 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Dr Wisdom Teeth 287 E Hunt Hwy Ste 101 San Tan Valley AZ 85143-5096 Ph: (833) 394-7366 | Dr Wisdom Teeth 287 E Hunt Hwy Ste 101 San Tan Valley AZ 85143-5096 Ph: (833) 394-7366 |
NPI Number | 1992298533 |
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Provider Enumeration Date | 06/08/2018 |
Last Update Date | 06/08/2018 |
Identifier | Type | State | Issuer |
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1992298533 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QD0000X | Clinic/center - Dental | D009399 (Arizona) | Primary |
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