3901 West PLLC
Dentist in Phoenix, AZ. Organization (NPI-2).
NPI number1740051929
StatusActive
Last updated in NPPESJan 16, 2024
Details
- NPI
- 1740051929
- Entity type
- Organization (NPI-2)
- Legal business name
- 3901 West PLLC
- Organization subpart
- No
- Enumeration date
- Jan 16, 2024
- Certification date
- Jan 15, 2024
- Last updated
- Jan 16, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
3901 W Mcdowell RdPhoenix, AZ 85009-2114
Phone 602-456-6542
Mailing address
3901 W Mcdowell RdPhoenix, AZ 85009-2114
Authorized official
Doug Chang
Owner
6023701511
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