Uptown Pediatric Dental Group, Pllc | |
1515 E Missouri Ave Ste 103 Phoenix AZ 85014-2443 | |
(602) 279-2981 | |
Not Available |
Full Name | Uptown Pediatric Dental Group, Pllc |
---|---|
Speciality | Clinic/center - Dental |
Location | 1515 E Missouri Ave Ste 103, Phoenix, Arizona |
Authorized Official Name and Position | Ernest Nehrer (OWNER DOCTOR) |
Authorized Official Contact | 8312345526 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Uptown Pediatric Dental Group, Pllc 7236 N 18th Pl Phoenix AZ 85020-5236 Ph: (312) 345-5526 | Uptown Pediatric Dental Group, Pllc 1515 E Missouri Ave Ste 103 Phoenix AZ 85014-2443 Ph: (602) 279-2981 |
NPI Number | 1003458688 |
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Provider Enumeration Date | 10/15/2019 |
Last Update Date | 10/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003458688 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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