| Queen Creek Implants & Periodontics | |
|
22363 E Domingo Rd Ste 103 Queen Creek AZ 85142-0353 | |
| (480) 247-6558 | |
| (480) 275-2404 |
| Full Name | Queen Creek Implants & Periodontics |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 22363 E Domingo Rd Ste 103, Queen Creek, Arizona |
| Authorized Official Name and Position | Amy Benavidez (OFFICE MANAGER) |
| Authorized Official Contact | 4802476558 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Creek Implants & Periodontics 22363 E Domingo Rd Ste 103 Queen Creek AZ 85142-0353 Ph: (480) 247-6558 | Queen Creek Implants & Periodontics 22363 E Domingo Rd Ste 103 Queen Creek AZ 85142-0353 Ph: (480) 247-6558 |
| NPI Number | 1639913692 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 07/15/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639913692 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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