Organization · NPI-2

1st American Dental

Dentist, General Practice · Tempe, AZ

NPI number1750032629
StatusActive
Last updated in NPPESJan 12, 2022

Details

NPI
1750032629
Entity type
Organization (NPI-2)
Legal business name
1st American Dental
Organization subpart
No
Enumeration date
Jan 12, 2022
Certification date
Jan 12, 2022
Last updated
Jan 12, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

55 E Broadway Rd
Tempe, AZ 85282-1302

Phone 480-687-2266

Mailing address

55 E Broadway Rd
Tempe, AZ 85282-1302

Phone 480-687-2266

Authorized official

Joey Graziano
Office Manager
4806872266

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