| Paradise Valley Center For Cosmetic And Comprehensive Dentistry, Pllc | |
|
11110 N Tatum Blvd Suite 102 Phoenix AZ 85028-1607 | |
| (602) 992-4510 | |
| Not Available |
| Full Name | Paradise Valley Center For Cosmetic And Comprehensive Dentistry, Pllc |
|---|---|
| Speciality | Dentist |
| Location | 11110 N Tatum Blvd, Phoenix, Arizona |
| Authorized Official Name and Position | Mitch Ellingson (PARTNER) |
| Authorized Official Contact | 6029924510 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Paradise Valley Center For Cosmetic And Comprehensive Dentistry, Pllc 11110 N Tatum Blvd Suite 102 Phoenix AZ 85028-1607 Ph: (602) 992-4510 | Paradise Valley Center For Cosmetic And Comprehensive Dentistry, Pllc 11110 N Tatum Blvd Suite 102 Phoenix AZ 85028-1607 Ph: (602) 992-4510 |
| NPI Number | 1588897037 |
|---|---|
| Provider Enumeration Date | 09/01/2009 |
| Last Update Date | 09/01/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588897037 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7229 (Arizona) | Primary |
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