| Scottsdale Pediatric Dental Associates Inc | |
|
9280 E Raintree, Suite 108 Scottsdale AZ 85260 | |
| (480) 443-9080 | |
| Not Available |
| Full Name | Scottsdale Pediatric Dental Associates Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 9280 E Raintree, Suite 108, Scottsdale, Arizona |
| Authorized Official Name and Position | Sulieman Kassisieh (PRESIDENT) |
| Authorized Official Contact | 4809484010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Scottsdale Pediatric Dental Associates Inc 9280 E Raintree, Suite 108 Scottsdale AZ 85260 Ph: (480) 443-9080 | Scottsdale Pediatric Dental Associates Inc 9280 E Raintree, Suite 108 Scottsdale AZ 85260 Ph: (480) 443-9080 |
| NPI Number | 1578126470 |
|---|---|
| Provider Enumeration Date | 04/16/2019 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578126470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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