| Coniam Dental Llc | |
|
15341 W Waddell Rd Ste B-107 Surprise AZ 85379-5169 | |
| (623) 233-1020 | |
| Not Available |
| Full Name | Coniam Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15341 W Waddell Rd Ste B-107, Surprise, Arizona |
| Authorized Official Name and Position | Michael Coniam (OWNER) |
| Authorized Official Contact | 6025109838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coniam Dental Llc 10752 W Prickly Pear Trl Peoria AZ 85383-9691 Ph: (602) 510-9838 | Coniam Dental Llc 15341 W Waddell Rd Ste B-107 Surprise AZ 85379-5169 Ph: (623) 233-1020 |
| NPI Number | 1235913872 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235913872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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