| Market Street Denta | |
|
20875 N Pima Rd Ste 105 Scottsdale AZ 85255-9194 | |
| (480) 563-0069 | |
| (480) 563-7631 |
| Full Name | Market Street Denta |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 20875 N Pima Rd Ste 105, Scottsdale, Arizona |
| Authorized Official Name and Position | Jean D Lukaska (DENTIST) |
| Authorized Official Contact | 4805630069 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Market Street Denta 20875 N Pima Rd Ste 105 Scottsdale AZ 85255-9194 Ph: (480) 563-0069 | Market Street Denta 20875 N Pima Rd Ste 105 Scottsdale AZ 85255-9194 Ph: (480) 563-0069 |
| NPI Number | 1275744047 |
|---|---|
| Provider Enumeration Date | 05/24/2007 |
| Last Update Date | 06/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275744047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5733 (Arizona) | Primary |
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