Acacia Endodontics At Ahwatukee
Dentist, Endodontics in Phoenix, AZ. Organization (NPI-2).
NPI number1720423908
StatusActive
Last updated in NPPESMay 1, 2013
Details
- NPI
- 1720423908
- Entity type
- Organization (NPI-2)
- Legal business name
- Acacia Endodontics At Ahwatukee
- Organization subpart
- No
- Enumeration date
- May 1, 2013
- Last updated
- May 1, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223E0200X | Dentist, Endodontics | – | AZ | Yes |
Practice location
15215 S 48th St Ste 136Phoenix, AZ 85044-9138
Phone 480-704-8550 · Fax 480-704-0199
Mailing address
15215 S 48th St Ste 136Phoenix, AZ 85044-9138
Phone 480-704-8550 · Fax 480-704-0199
Authorized official
Christina Ariel
Practice Manager
4807779938
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