| James S Trichak Dentistry, Pllc | |
|
3850 W Greenway Rd Ste 100 Phoenix AZ 85053-3731 | |
| (602) 843-0077 | |
| (602) 843-6500 |
| Full Name | James S Trichak Dentistry, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3850 W Greenway Rd Ste 100, Phoenix, Arizona |
| Authorized Official Name and Position | James S Trichak (OWNER) |
| Authorized Official Contact | 6029384373 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James S Trichak Dentistry, Pllc 16841 N 31st Ave 140 Phoenix AZ 85053-3012 Ph: (602) 938-4373 | James S Trichak Dentistry, Pllc 3850 W Greenway Rd Ste 100 Phoenix AZ 85053-3731 Ph: (602) 843-0077 |
| NPI Number | 1356463061 |
|---|---|
| Provider Enumeration Date | 04/04/2007 |
| Last Update Date | 10/01/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356463061 | NPI | - | NPPES |
| 1134180763 | Other | AZ | INDIVIDUAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 3470 (Arizona) | Primary |
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