| Lp Dental Center,pllc | |
|
3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229 | |
| (602) 268-0006 | |
| (602) 268-0007 |
| Full Name | Lp Dental Center,pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3515 W Southern Ave Ste 152, Phoenix, Arizona |
| Authorized Official Name and Position | Bill Bao Quang Le (CORPORATE OFFICER) |
| Authorized Official Contact | 6022680006 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lp Dental Center,pllc 3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229 Ph: (602) 268-0006 | Lp Dental Center,pllc 3515 W Southern Ave Ste 152 Phoenix AZ 85041-4229 Ph: (602) 268-0006 |
| NPI Number | 1396018610 |
|---|---|
| Provider Enumeration Date | 02/16/2012 |
| Last Update Date | 02/17/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396018610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 7208 (Arizona) | Primary |
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