| Stauffer Whiting Dental, Llc | |
|
36275 N Gantzel Rd Ste 100 San Tan Valley AZ 85140-7319 | |
| (480) 781-4999 | |
| Not Available |
| Full Name | Stauffer Whiting Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 36275 N Gantzel Rd Ste 100, San Tan Valley, Arizona |
| Authorized Official Name and Position | Scott Stauffer (MEMBER) |
| Authorized Official Contact | 4802000688 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stauffer Whiting Dental, Llc 36275 N Gantzel Rd Ste 100 San Tan Valley AZ 85140-7319 Ph: (480) 781-4999 | Stauffer Whiting Dental, Llc 36275 N Gantzel Rd Ste 100 San Tan Valley AZ 85140-7319 Ph: (480) 781-4999 |
| NPI Number | 1164075602 |
|---|---|
| Provider Enumeration Date | 07/23/2019 |
| Last Update Date | 07/23/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164075602 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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