Ts Dental Management Llc | |
4530 E Ray Rd Ste 170 Phoenix AZ 85044-6097 | |
(480) 477-3090 | |
Not Available |
Full Name | Ts Dental Management Llc |
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Speciality | Clinic/Center |
Location | 4530 E Ray Rd Ste 170, Phoenix, Arizona |
Authorized Official Name and Position | Tracy Tran (MANAGER) |
Authorized Official Contact | 4804773090 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ts Dental Management Llc 4530 E Ray Rd Ste 170 Phoenix AZ 85044-6097 Ph: (480) 477-3090 | Ts Dental Management Llc 4530 E Ray Rd Ste 170 Phoenix AZ 85044-6097 Ph: (480) 477-3090 |
NPI Number | 1881281889 |
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Provider Enumeration Date | 12/23/2020 |
Last Update Date | 12/28/2020 |
Medicare PECOS PAC ID | 3476921156 |
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Medicare Enrollment ID | O20221130002798 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881281889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Secondary |
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
Provider Name | Han Choi |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1891040028 PECOS PAC ID: 6103186390 Enrollment ID: I20211006001929 |
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