| Ultra Dental Peoria Llc | |
|
8345 W Thunderbird Rd Ste B100 Peoria AZ 85381-3668 | |
| (602) 943-3700 | |
| Not Available |
| Full Name | Ultra Dental Peoria Llc |
|---|---|
| Speciality | Dentist |
| Location | 8345 W Thunderbird Rd Ste B100, Peoria, Arizona |
| Authorized Official Name and Position | Bobby Yasso (GENERAL DENTIST) |
| Authorized Official Contact | 2487058334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ultra Dental Peoria Llc 8612 W Melinda Ln Peoria AZ 85382-2499 Ph: (248) 705-8334 | Ultra Dental Peoria Llc 8345 W Thunderbird Rd Ste B100 Peoria AZ 85381-3668 Ph: (602) 943-3700 |
| NPI Number | 1336835222 |
|---|---|
| Provider Enumeration Date | 04/13/2023 |
| Last Update Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336835222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Secondary |
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