| Peoria Dental1 Llc | |
|
8285 W Union Hills Dr Ste 103 Glendale AZ 85308-0511 | |
| (623) 362-8200 | |
| Not Available |
| Full Name | Peoria Dental1 Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 8285 W Union Hills Dr Ste 103, Glendale, Arizona |
| Authorized Official Name and Position | Dona Kauble (OFFICE MANAGER) |
| Authorized Official Contact | 6233628200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peoria Dental1 Llc 8285 W Union Hills Dr Ste 103 Glendale AZ 85308-0511 Ph: () - | Peoria Dental1 Llc 8285 W Union Hills Dr Ste 103 Glendale AZ 85308-0511 Ph: (623) 362-8200 |
| NPI Number | 1780237925 |
|---|---|
| Provider Enumeration Date | 07/17/2019 |
| Last Update Date | 07/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780237925 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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