| Tempe Modern Dentistry | |
|
1835 E Guadalupe Rd Ste C-107 Tempe AZ 85283-3277 | |
| (480) 345-4017 | |
| (480) 345-3526 |
| Full Name | Tempe Modern Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1835 E Guadalupe Rd Ste C-107, Tempe, Arizona |
| Authorized Official Name and Position | Ian D Young (OWNER) |
| Authorized Official Contact | 4803454017 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Tempe Modern Dentistry 2860 Michelle Fl 2 Irvine CA 92606-1008 Ph: (714) 368-2077 | Tempe Modern Dentistry 1835 E Guadalupe Rd Ste C-107 Tempe AZ 85283-3277 Ph: (480) 345-4017 |
| NPI Number | 1962703496 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 10/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962703496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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