Stauffer Whiting Dental, LLC
Clinic/Center, Dental in San Tan Valley, AZ. Organization (NPI-2).
NPI number1164075602
StatusActive
Last updated in NPPESJul 23, 2019
Details
- NPI
- 1164075602
- Entity type
- Organization (NPI-2)
- Legal business name
- Stauffer Whiting Dental, LLC
- Organization subpart
- No
- Enumeration date
- Jul 23, 2019
- Last updated
- Jul 23, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QD0000X | Clinic/Center, Dental | – | – | Yes |
Practice location
36275 N Gantzel Rd Ste 100San Tan Valley, AZ 85140-7319
Phone 480-781-4999
Mailing address
36275 N Gantzel Rd Ste 100San Tan Valley, AZ 85140-7319
Phone 480-781-4999
Authorized official
Scott Stauffer
Member
4802000688
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All 5 Dental Clinic/Center providers in San Tan Valley · All 797 providers in San Tan Valley
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