AZ LIFETIME DENTISTRY LLC NPI 1841536612

NPI Information

AZ LIFETIME DENTISTRY LLC is a general practice dentist in Avondale, 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. AZ LIFETIME DENTISTRY LLC NPI is 1841536612. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13065 W MCDOWELL RD STE 112
AVONDALE, AZ
ZIP 85392-439
Phone: (623) 455-6958

The provider's authorized official is Gina Michelle Elrod .
The authorized official title is Dentist/owner and has the following contact phone number (480) 544-2240.

The enumeration date for this NPI number is 12/21/2012 and was last updated on 12/21/2012.

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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