Organization · Type 2 NPI
Pda Holdco Chandler LLC
Dental Clinic/Center · Chandler, AZ
NPI number
1811449671
Active
Practice location
2900 W Ray Rd Ste 2
Chandler, AZ 85224-7342
Fax (480) 857-7888
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 8502 (AZ) |
| Pediatric Dentistry | 1223P0221X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1811449671
Pda Holdco Chandler LLC's National Provider Identifier is 1811449671, issued on Oct 27, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Chandler, AZ. The record was last updated on Feb 7, 2023.