| South Town Dental Care, Inc. | |
|
10720 W Indian School Rd Ste 55 Phoenix AZ 85037-5724 | |
| (623) 877-1729 | |
| Not Available |
| Full Name | South Town Dental Care, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 10720 W Indian School Rd Ste 55, Phoenix, Arizona |
| Authorized Official Name and Position | Tim J Wildung (CEO / TREASURER) |
| Authorized Official Contact | 6023914107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Town Dental Care, Inc. 7205 E Southern Ave Ste A-122 Mesa AZ 85209-2790 Ph: (602) 391-4107 | South Town Dental Care, Inc. 10720 W Indian School Rd Ste 55 Phoenix AZ 85037-5724 Ph: (623) 877-1729 |
| NPI Number | 1043776644 |
|---|---|
| Provider Enumeration Date | 02/19/2019 |
| Last Update Date | 02/19/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043776644 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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