| Nba Dental Group, Pc | |
|
4102 N 24th St B-2 Phoenix AZ 85016-6283 | |
| (602) 956-2024 | |
| (602) 956-2209 |
| Full Name | Nba Dental Group, Pc |
|---|---|
| Speciality | Dentist |
| Location | 4102 N 24th St, Phoenix, Arizona |
| Authorized Official Name and Position | Fawne E Pryor (INS MGR) |
| Authorized Official Contact | 6235362040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nba Dental Group, Pc 4102 N 24th St B-2 Phoenix AZ 85016-6283 Ph: (602) 956-2024 | Nba Dental Group, Pc 4102 N 24th St B-2 Phoenix AZ 85016-6283 Ph: (602) 956-2024 |
| NPI Number | 1740468990 |
|---|---|
| Provider Enumeration Date | 02/08/2008 |
| Last Update Date | 02/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740468990 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5981 (Arizona) | Primary |
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