Head Pain Institute Llc | |
9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 | |
(480) 945-3629 | |
(480) 664-8972 |
Full Name | Head Pain Institute Llc |
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Speciality | Dentist |
Location | 9481 E Ironwood Square Dr Ste 100, Scottsdale, Arizona |
Authorized Official Name and Position | Antonia Maria Teruel Castellon (OWNER) |
Authorized Official Contact | 4809453629 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Head Pain Institute Llc 9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 Ph: (480) 945-3629 | Head Pain Institute Llc 9481 E Ironwood Square Dr Ste 100 Scottsdale AZ 85258-4568 Ph: (480) 945-3629 |
NPI Number | 1609632678 |
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Provider Enumeration Date | 02/26/2024 |
Last Update Date | 02/26/2024 |
Medicare PECOS PAC ID | 8123469301 |
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Medicare Enrollment ID | O20240520000527 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609632678 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223P0106X | Dentist - Oral And Maxillofacial Pathology | (* (Not Available)) | Primary |
Provider Name | Antonia Teruel Castellon |
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Provider Type | Practitioner - Orofacial Pain |
Provider Identifiers | NPI Number: 1477829927 PECOS PAC ID: 2062798200 Enrollment ID: I20240520000679 |
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