| Van Duker Pediatric Pllc | |
|
5505 S Lindsay Suite 105 Gilbert AZ 85298-8529 | |
| (253) 549-8789 | |
| Not Available |
| Full Name | Van Duker Pediatric Pllc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 5505 S Lindsay, Gilbert, Arizona |
| Authorized Official Name and Position | Mark Van Duker (OWNER) |
| Authorized Official Contact | 2535498789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Van Duker Pediatric Pllc 653 S Beebe St Gilbert AZ 85296-0131 Ph: (253) 549-8789 | Van Duker Pediatric Pllc 5505 S Lindsay Suite 105 Gilbert AZ 85298-8529 Ph: (253) 549-8789 |
| NPI Number | 1578331633 |
|---|---|
| Provider Enumeration Date | 12/18/2023 |
| Last Update Date | 12/18/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578331633 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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