DENTISTRY AT MARICOPA LLC NPI 1578020988

NPI Information

DENTISTRY AT MARICOPA, LLC is a general practice dentist in Maricopa, 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. DENTISTRY AT MARICOPA, LLC NPI is 1578020988. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

20046 N. JOHN WAYNE PKWY
STE 105
MARICOPA, AZ
ZIP 85139
Phone: (520) 316-6100

The provider's authorized official is Becky Onda .
The authorized official title is DIRECTOR OF CREDENTIALINGCredentialing and has the following contact phone number (480) 889-9457.

The enumeration date for this NPI number is 2/22/2019 and was last updated on 2/22/2019.

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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