STETSON VILLAGE DENTAL LLC NPI 1104590728

NPI Information

STETSON VILLAGE DENTAL LLC is a general practice dentist in Glendale, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. STETSON VILLAGE DENTAL LLC NPI is 1104590728. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3870 W HAPPY VALLEY RD STE 154
GLENDALE, AZ
ZIP 85310-296
Phone: (623) 533-4895

The provider's authorized official is Faith Gaskin .
The authorized official title is Credentialing Directory and has the following contact phone number (972) 869-3789.

The enumeration date for this NPI number is 8/6/2021 and was last updated on 8/6/2021.

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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