| Lake Pleasant Family Dental | |
|
20542 N Lake Pleasant Rd Peoria AZ 85382-9749 | |
| (623) 435-0080 | |
| (623) 435-0091 |
| Full Name | Lake Pleasant Family Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20542 N Lake Pleasant Rd, Peoria, Arizona |
| Authorized Official Name and Position | Aaron Johnson (DOCTOR) |
| Authorized Official Contact | 6234350080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Pleasant Family Dental 20542 N Lake Pleasant Rd Peoria AZ 85382-9749 Ph: () - | Lake Pleasant Family Dental 20542 N Lake Pleasant Rd Peoria AZ 85382-9749 Ph: (623) 435-0080 |
| NPI Number | 1912079997 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912079997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D4643 (Arizona) | Primary |
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