| Affinity Dental | |
|
21321 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-5995 | |
| (480) 882-2300 | |
| Not Available |
| Full Name | Affinity Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 21321 E Ocotillo Rd Ste 130, Queen Creek, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Affinity Dental 2403 Lacy Ln Carrollton TX 75006-6514 Ph: (972) 869-3789 | Affinity Dental 21321 E Ocotillo Rd Ste 130 Queen Creek AZ 85142-5995 Ph: (480) 882-2300 |
| NPI Number | 1760036644 |
|---|---|
| Provider Enumeration Date | 07/29/2019 |
| Last Update Date | 11/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760036644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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