| 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 |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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