| Westview Family Dental Care, Pllc | |
|
4130 N 108th Ave Suite 103-104 Phoenix AZ 85037-5774 | |
| (623) 772-9600 | |
| (623) 772-9601 |
| Full Name | Westview Family Dental Care, Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4130 N 108th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Charles Bryan Jakobsen (OWNER) |
| Authorized Official Contact | 6237729600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Westview Family Dental Care, Pllc 4130 N 108th Ave Suite 103-104 Phoenix AZ 85037-5774 Ph: (623) 772-9600 | Westview Family Dental Care, Pllc 4130 N 108th Ave Suite 103-104 Phoenix AZ 85037-5774 Ph: (623) 772-9600 |
| NPI Number | 1932262607 |
|---|---|
| Provider Enumeration Date | 12/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932262607 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 6266 (Arizona) | Primary |
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