Desert Mountain Endodontics
Desert Mountain Endodontics is an Exclusive Provider Organization in Peoria, Arizona. Licensed in Arizona. Registered with an NPI since 2014.
- Licensed in
- AZ
- In the registry since
- 2014
Practice location Address checks out
20542 N Lake Pleasant Rd #113Peoria, AZ 85382-9749
Phone: (623) 594-2888
Fax: (623) 328-9474
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Exclusive Provider Organization (primary) | Taxonomy 302F00000X · Licence 8110 (AZ) |
|---|
Record details
| NPI number | 1609284801 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jack Casale — President · (623) 594-2888 |
| NPI enumerated | July 31, 2014 |
| Last updated in NPPES | July 31, 2014 |
| Mailing address | 20542 N Lake Pleasant Rd, 113, Peoria, AZ 85382-9749 |