Organization · Type 2 NPI

Ashwaq Dental One, LLC

Dental Clinic/Center · Anthem, AZ

NPI number 1144757196 Active

Practice location

42104 N Venture Dr Ste B118
Anthem, AZ 85086-3828

Fax (844) 273-1202

Mailing address

PO Box 5279
Peoria, AZ 85385-5279

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1144757196

Ashwaq Dental One, LLC's National Provider Identifier is 1144757196, issued on May 20, 2017. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Anthem, AZ. The record was last updated on May 20, 2017.