| Surprise Modern Dentistry Llp | |
|
13733 N Prasada Pkwy Ste 108 Surprise AZ 85388-8007 | |
| (623) 777-3329 | |
| (623) 900-2676 |
| Full Name | Surprise Modern Dentistry Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13733 N Prasada Pkwy Ste 108, Surprise, Arizona |
| Authorized Official Name and Position | Joshua J Shaw (OWNER) |
| Authorized Official Contact | 6237773329 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Modern Dentistry Llp Po Box 920050 Dallas TX 75392-0050 Ph: (714) 845-8892 | Surprise Modern Dentistry Llp 13733 N Prasada Pkwy Ste 108 Surprise AZ 85388-8007 Ph: (623) 777-3329 |
| NPI Number | 1376200261 |
|---|---|
| Provider Enumeration Date | 11/26/2021 |
| Last Update Date | 11/26/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376200261 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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