Organization · NPI-2

Alameda Crossing Dental Group, LLP

Dentist, General Practice · Avondale, AZ

NPI number1063576072
StatusActive
Last updated in NPPESApr 12, 2010

Details

NPI
1063576072
Entity type
Organization (NPI-2)
Legal business name
Alameda Crossing Dental Group, LLP
Organization subpart
No
Enumeration date
Dec 21, 2006
Last updated
Apr 12, 2010

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Other names

  • Alameda Crossing Dental Group (Doing Business As)

Practice location

1619 N Dysart Rd
Ste. 105
Avondale, AZ 85392-1200

Phone 623-935-6278 · Fax 623-935-6285

Mailing address

2860 Michelle
2nd Floor
Irvine, CA 92606-1009

Phone 714-508-3600 · Fax 714-368-2092

Authorized official

Brian D. Buehler
Owner DDS
6239356278

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