| Shalimar Family Dentistry | |
|
2074 E Southern Ave Suite B102 Tempe AZ 85282-7580 | |
| (480) 838-3355 | |
| Not Available |
| Full Name | Shalimar Family Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 2074 E Southern Ave, Tempe, Arizona |
| Authorized Official Name and Position | Chet L Jenkins (PRESIDENT) |
| Authorized Official Contact | 4808383355 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shalimar Family Dentistry 2074 E Southern Ave Suite B102 Tempe AZ 85282-7580 Ph: (480) 838-3355 | Shalimar Family Dentistry 2074 E Southern Ave Suite B102 Tempe AZ 85282-7580 Ph: (480) 838-3355 |
| NPI Number | 1134351075 |
|---|---|
| Provider Enumeration Date | 08/11/2009 |
| Last Update Date | 08/11/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134351075 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5252 (Arizona) | Primary |
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