Az Specialty Dental Services, Llc | |
803 W Elliot Rd Chandler AZ 85225-1885 | |
(480) 963-1355 | |
Not Available |
Full Name | Az Specialty Dental Services, Llc |
---|---|
Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 803 W Elliot Rd, Chandler, Arizona |
Authorized Official Name and Position | Charlotte Dasch (DIREC OF CRED AND PROV REL) |
Authorized Official Contact | 5046380303 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Az Specialty Dental Services, Llc 1610 54th Ave N Ste 205 Nashville TN 37209-1442 Ph: (615) 678-0759 | Az Specialty Dental Services, Llc 803 W Elliot Rd Chandler AZ 85225-1885 Ph: (480) 963-1355 |
NPI Number | 1053177410 |
---|---|
Provider Enumeration Date | 02/23/2024 |
Last Update Date | 02/23/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053177410 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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