Organization · Type 2 NPI
State 48 Dental PLLC
Dental Clinic/Center · Glendale, AZ
NPI number
1437732054
Active
Practice location
5122 N 95th Ave Ste A100
Glendale, AZ 85305-3044
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1437732054
State 48 Dental PLLC's National Provider Identifier is 1437732054, issued on May 2, 2021. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Glendale, AZ. The record was last updated on May 2, 2021.