Abc Pediatric Dental Professional Corporation
Abc Pediatric Dental Professional Corporation is a General Practice Dentistry in Surprise, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
16222 W Boca Raton RdSurprise, AZ 85379-5073
Phone: (801) 448-2346
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence 6361 (AZ) |
|---|
Record details
| NPI number | 1710304654 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Benjamin Menlove — President · (801) 448-2346 |
| NPI enumerated | March 27, 2014 |
| Last updated in NPPES | March 27, 2014 |
| Mailing address | 4444 W Thomas Rd, Phoenix, AZ 85031-3728 |
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