| Untva Pllc | |
|
15294 W Brookside Ln Ste 100 Surprise AZ 85374-2446 | |
| (623) 376-7400 | |
| Not Available |
| Full Name | Untva Pllc |
|---|---|
| Speciality | Dentist - Endodontics |
| Location | 15294 W Brookside Ln Ste 100, Surprise, Arizona |
| Authorized Official Name and Position | Erik John Foisy (OWNER/ENDODONTIST) |
| Authorized Official Contact | 7026225123 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Untva Pllc 15294 W Brookside Ln Ste 100 Surprise AZ 85374-2446 Ph: (623) 376-7400 | Untva Pllc 15294 W Brookside Ln Ste 100 Surprise AZ 85374-2446 Ph: (623) 376-7400 |
| NPI Number | 1215661194 |
|---|---|
| Provider Enumeration Date | 07/15/2022 |
| Last Update Date | 07/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215661194 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223E0200X | Dentist - Endodontics | (* (Not Available)) | Primary |
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