| Sspdental | |
|
1618 E Bell Rd Ste 108 Phoenix AZ 85022-2835 | |
| (602) 493-0206 | |
| Not Available |
| Full Name | Sspdental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1618 E Bell Rd Ste 108, Phoenix, Arizona |
| Authorized Official Name and Position | Prachi Tyagi (OWNER) |
| Authorized Official Contact | 3102548100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sspdental 5623 E Aster Dr Scottsdale AZ 85254-4305 Ph: (310) 254-8100 | Sspdental 1618 E Bell Rd Ste 108 Phoenix AZ 85022-2835 Ph: (602) 493-0206 |
| NPI Number | 1215680004 |
|---|---|
| Provider Enumeration Date | 02/01/2022 |
| Last Update Date | 02/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215680004 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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