| Poished The Dental Spa | |
|
15811 N Frank Lloyd Wright Blvd Suite 130 Scottsdale AZ 85260-3000 | |
| (480) 767-1077 | |
| Not Available |
| Full Name | Poished The Dental Spa |
|---|---|
| Speciality | Dentist |
| Location | 15811 N Frank Lloyd Wright Blvd, Scottsdale, Arizona |
| Authorized Official Name and Position | Taylor Blackwood (PRESIDENT) |
| Authorized Official Contact | 9012750572 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Poished The Dental Spa 15210 N Scottsdale Rd Suite 240 Scottsdale AZ 85254-8124 Ph: () - | Poished The Dental Spa 15811 N Frank Lloyd Wright Blvd Suite 130 Scottsdale AZ 85260-3000 Ph: (480) 767-1077 |
| NPI Number | 1649695339 |
|---|---|
| Provider Enumeration Date | 03/04/2014 |
| Last Update Date | 03/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649695339 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D7870 (Arizona) | Primary |
| 124Q00000X | Dental Hygienist | H007556 (Arizona) | Secondary |
| 124Q00000X | Dental Hygienist | H007508 (Arizona) | Secondary |
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