| Western Dental Of Arizona, Inc. | |
|
1820 N. 75th Ave. Suite #112 Phoenix AZ 85035 | |
| (623) 846-2223 | |
| (623) 846-2229 |
| Full Name | Western Dental Of Arizona, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1820 N. 75th Ave., Phoenix, Arizona |
| Authorized Official Name and Position | Cindy E. Avalos (PPOCOORDINATOR) |
| Authorized Official Contact | 7144803000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Western Dental Of Arizona, Inc. 530 S Main St Orange CA 92868-4525 Ph: (714) 480-3000 | Western Dental Of Arizona, Inc. 1820 N. 75th Ave. Suite #112 Phoenix AZ 85035 Ph: (623) 846-2223 |
| NPI Number | 1659418994 |
|---|---|
| Provider Enumeration Date | 01/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659418994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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