Organization · NPI-2

Aaa Dental Care PC

Dentist, General Practice · Phoenix, AZ

NPI number1457478299
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1457478299
Entity type
Organization (NPI-2)
Legal business name
Aaa Dental Care PC
Organization subpart
No
Enumeration date
Mar 26, 2007
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice5073AZYes

Practice location

4837 N 35th Ave
Phoenix, AZ 85017-3011

Phone 602-242-5406 · Fax 602-242-5407

Mailing address

4837 N 35th Ave
Phoenix, AZ 85017-3011

Phone 602-242-5406 · Fax 602-242-5407

Authorized official

Ashley T Bui
Dentist
6022425406

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