Organization · NPI-2

Affordable Family Dentistry Of Tempe

Dentist, General Practice · Tempe, AZ

NPI number1396013983
StatusActive
Last updated in NPPESDec 9, 2011

Details

NPI
1396013983
Entity type
Organization (NPI-2)
Legal business name
Affordable Family Dentistry Of Tempe
Organization subpart
No
Enumeration date
Dec 9, 2011
Last updated
Dec 9, 2011

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General PracticeD07636AZYes

Practice location

2043 E Southern Ave Ste D
Tempe, AZ 85282-7509

Phone 480-897-7000 · Fax 480-897-7003

Mailing address

2043 E Southern Ave Ste D
Tempe, AZ 85282-7509

Phone 480-897-7000 · Fax 480-897-7003

Authorized official

Charles Mckenzie
Owner
4808977000

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