Wigwam Creek Dental Care, PC
Dentist, General Practice in Litchfield Park, AZ. Organization (NPI-2).
NPI number1982809844
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1982809844
- Entity type
- Organization (NPI-2)
- Legal business name
- Wigwam Creek Dental Care, PC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 5869 | AZ | Yes |
| 1223G0001X | Dentist, General Practice | 6772 | AZ |
Practice location
13000 W Indian School RdA-7
Litchfield Park, AZ 85340-6582
Phone 623-547-0010
Mailing address
13000 W Indian School RdA-7
Litchfield Park, AZ 85340-6582
Phone 623-547-0010
Authorized official
Scott A Lee
Owner
6235470010
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