Tj Dental Corp | |
20542 N Lake Pleasant Rd Ste #113 Peoria AZ 85382-9749 | |
(602) 884-8238 | |
(602) 884-8240 |
Full Name | Tj Dental Corp |
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Speciality | Dentist |
Location | 20542 N Lake Pleasant Rd, Peoria, Arizona |
Authorized Official Name and Position | Shannon Salinas (MANAGER) |
Authorized Official Contact | 6028990488 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Tj Dental Corp 20542 N Lake Pleasant Rd Ste #113 Peoria AZ 85382-9749 Ph: (602) 884-8238 | Tj Dental Corp 20542 N Lake Pleasant Rd Ste #113 Peoria AZ 85382-9749 Ph: (602) 884-8238 |
NPI Number | 1033577317 |
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Provider Enumeration Date | 02/02/2016 |
Last Update Date | 02/02/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033577317 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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