ARIZONA PERIODONTAL GROUP PLLC NPI 1134338973

NPI Information

ARIZONA PERIODONTAL GROUP PLLC is a periodontics dentist in Phoenix, AZ. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ARIZONA PERIODONTAL GROUP PLLC NPI is 1134338973. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1717 W NORTHERN AVE
STE 104
PHOENIX, AZ
ZIP 85021-469
Phone: (602) 995-5045
Fax: (602) 995-3222

The provider's authorized official is Ariel Trujillo .
The authorized official title is Owner and has the following contact phone number (602) 995-5045.

The enumeration date for this NPI number is 5/21/2007 and was last updated on 2/22/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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