| North Scottsdale Pediatric Dentistry | |
|
14269 N 87th St Suite 103 Scottsdale AZ 85260-3693 | |
| (480) 607-4949 | |
| Not Available |
| Full Name | North Scottsdale Pediatric Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14269 N 87th St, Scottsdale, Arizona |
| Authorized Official Name and Position | Yaneav Cohen (DENTIST/OWNER) |
| Authorized Official Contact | 4806074949 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Scottsdale Pediatric Dentistry 14269 N 87th St Suite 103 Scottsdale AZ 85260-3693 Ph: (480) 607-4949 | North Scottsdale Pediatric Dentistry 14269 N 87th St Suite 103 Scottsdale AZ 85260-3693 Ph: (480) 607-4949 |
| NPI Number | 1245622182 |
|---|---|
| Provider Enumeration Date | 03/02/2015 |
| Last Update Date | 03/02/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245622182 | NPI | - | NPPES |
| 861337 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4997 (Arizona) | Primary |
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