Organization · Type 2 NPI

Banner -- University Dental Services LLC

Dental Clinic/Center · Phoenix, AZ

NPI number 1184094906 Active

Practice location

1111 E Mcdowell Rd
Phoenix, AZ 85006-2612

Mailing address

2901 N Central Ave
Phoenix, AZ 85012-2700

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1184094906

Banner -- University Dental Services LLC's National Provider Identifier is 1184094906, issued on Oct 6, 2015. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Phoenix, AZ. The record was last updated on Oct 6, 2015.