| Ultra Dental Llc | |
|
731 E Union Hills Dr Ste B7 Phoenix AZ 85024-2910 | |
| (602) 613-8004 | |
| (602) 613-8009 |
| Full Name | Ultra Dental Llc |
|---|---|
| Speciality | Dentist |
| Location | 731 E Union Hills Dr Ste B7, Phoenix, Arizona |
| Authorized Official Name and Position | Bobby Yasso (DENTIST) |
| Authorized Official Contact | 6026138004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Dental Llc 8612 W Melinda Ln Peoria AZ 85382-2499 Ph: (602) 613-8004 | Ultra Dental Llc 731 E Union Hills Dr Ste B7 Phoenix AZ 85024-2910 Ph: (602) 613-8004 |
| NPI Number | 1851094528 |
|---|---|
| Provider Enumeration Date | 03/22/2023 |
| Last Update Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851094528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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