Organization · Type 2 NPI

Ichiba Management, LLC

Dental Clinic/Center · Scottsdale, AZ

NPI number 1902268261 Active

Practice location

10135 E Via Linda, Suite C-119
Scottsdale, AZ 85258-5328

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1902268261

Ichiba Management, LLC's National Provider Identifier is 1902268261, issued on Mar 25, 2016. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Scottsdale, AZ. The record was last updated on Mar 25, 2016.