Perfect Teeth - Olive P.c. | |
10613 W Olive Ave Suite 201 Peoria AZ 85345-7339 | |
(623) 933-2145 | |
(623) 933-2976 |
Full Name | Perfect Teeth - Olive P.c. |
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Speciality | Dentist - General Practice |
Location | 10613 W Olive Ave, Peoria, Arizona |
Authorized Official Name and Position | Laurie Summers (CREDENTIALING) |
Authorized Official Contact | 3032856098 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Perfect Teeth - Olive P.c. 10613 W Olive Ave Suite 201 Peoria AZ 85345-7339 Ph: (623) 933-2145 | Perfect Teeth - Olive P.c. 10613 W Olive Ave Suite 201 Peoria AZ 85345-7339 Ph: (623) 933-2145 |
NPI Number | 1558482968 |
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Provider Enumeration Date | 04/03/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558482968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 6097 (Colorado) | Primary |
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