Organization · Type 2 NPI
Pacific Dental Services Foundation
Medical Physician Assistant · Phoenix, AZ
NPI number
1659848208
Active
Practice location
4559 E. Bell Road, Ste 106
Phoenix, AZ 85032
Fax (303) 952-0892
Mailing address
17000 Red Hill Ave
Irvine, CA 92614-5626
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | None listed |
Medical Physician Assistant: Definition to come...
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About NPI 1659848208
Pacific Dental Services Foundation's National Provider Identifier is 1659848208, issued on Oct 31, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 28, 2019.