Solterra Dentistry Llc | |
15255 N 40th St Ste 111 Phoenix AZ 85032-4636 | |
(602) 788-0730 | |
Not Available |
Full Name | Solterra Dentistry Llc |
---|---|
Speciality | Clinic/center - Dental |
Location | 15255 N 40th St Ste 111, Phoenix, Arizona |
Authorized Official Name and Position | Tera Goolsby (ACCOUNTANT) |
Authorized Official Contact | 6232892616 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Solterra Dentistry Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2580 | Solterra Dentistry Llc 15255 N 40th St Ste 111 Phoenix AZ 85032-4636 Ph: (602) 788-0730 |
NPI Number | 1003421009 |
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Provider Enumeration Date | 09/15/2020 |
Last Update Date | 09/15/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003421009 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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