MONTOYA PEDIATRIC DENTISTRY LLC DBA SAN TAN PEDIATRIC DENTAL NPI 1467607218

NPI Information

MONTOYA PEDIATRIC DENTISTRY LLC DBA SAN TAN PEDIATRIC DENTAL is a pediatric dentistry dentist in Queen Creek, AZ. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. MONTOYA PEDIATRIC DENTISTRY LLC DBA SAN TAN PEDIATRIC DENTAL NPI is 1467607218. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2510 E HUNT HWY
STE. 29
QUEEN CREEK, AZ
ZIP 85243-206
Phone: (480) 457-1693
Fax: (480) 457-1321

The provider's authorized official is Stephen J Montoya .
The authorized official title is Owner/dentist and has the following contact phone number (480) 457-1693.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 11/21/2008.

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:

Other Identifiers

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