| Dentamed Management Llc | |
|
4517 W Bluefield Ave Glendale AZ 85308-1513 | |
| (818) 577-7367 | |
| Not Available |
| Full Name | Dentamed Management Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 4517 W Bluefield Ave, Glendale, Arizona |
| Authorized Official Name and Position | Brenda Liana Macswan (OWNER) |
| Authorized Official Contact | 8185777367 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dentamed Management Llc 4517 W Bluefield Ave Glendale AZ 85308-1513 Ph: (818) 577-7367 | Dentamed Management Llc 4517 W Bluefield Ave Glendale AZ 85308-1513 Ph: (818) 577-7367 |
| NPI Number | 1205432796 |
|---|---|
| Provider Enumeration Date | 12/09/2020 |
| Last Update Date | 12/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205432796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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