Queen Creek Implants & Periodontics
Queen Creek Implants & Periodontics is a Periodontics in Queen Creek, Arizona. Registered with an NPI since 2024.
- In the registry since
- 2024
Practice location Address checks out
22363 E Domingo Rd Ste 103Queen Creek, AZ 85142-0353
Phone: (480) 247-6558
Fax: (480) 275-2404
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Periodontics (primary) | Taxonomy 1223P0300X |
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Record details
| NPI number | 1639913692 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Amy Benavidez — Office Manager · (480) 247-6558 |
| NPI enumerated | June 24, 2024 |
| Last updated in NPPES | July 15, 2024 |
| Certification date | July 15, 2024 |
| Mailing address | 22363 E Domingo Rd Ste 103, Queen Creek, AZ 85142-0353 |