| Stetson Dental Group Pc | |
|
9755 N. 90th St. Suite 190 Scottsdale AZ 85258 | |
| (480) 451-0908 | |
| (481) 451-8169 |
| Full Name | Stetson Dental Group Pc |
|---|---|
| Speciality | Dentist |
| Location | 9755 N. 90th St., Scottsdale, Arizona |
| Authorized Official Name and Position | James Moore Poyak (PRESIDENT) |
| Authorized Official Contact | 4804510908 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stetson Dental Group Pc 9755 N. 90th St. Suite 190 Scottsdale AZ 85258 Ph: (480) 451-0908 | Stetson Dental Group Pc 9755 N. 90th St. Suite 190 Scottsdale AZ 85258 Ph: (480) 451-0908 |
| NPI Number | 1518179084 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 08/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518179084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2978 (Arizona) | Primary |
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