| Az Dental Spa | |
|
3930 S Alma School Rd Bldg. B, Ste. 6 Chandler AZ 85248-4510 | |
| (480) 222-8083 | |
| (480) 222-8084 |
| Full Name | Az Dental Spa |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3930 S Alma School Rd, Chandler, Arizona |
| Authorized Official Name and Position | Debbie A Gragg (PRACTICE MANAGER) |
| Authorized Official Contact | 4802228083 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Dental Spa 3930 S Alma School Rd Bldg. B, Ste. 6 Chandler AZ 85248-4510 Ph: (480) 222-8083 | Az Dental Spa 3930 S Alma School Rd Bldg. B, Ste. 6 Chandler AZ 85248-4510 Ph: (480) 222-8083 |
| NPI Number | 1063635985 |
|---|---|
| Provider Enumeration Date | 04/10/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063635985 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D5144 (Arizona) | Primary |
| 1223G0001X | Dentist - General Practice | D5136 (Arizona) | Secondary |
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