Pediatric Dental Specialists, Ppc

NPI 1336146745 - Dentist - 1223P0221X

NPI Details
NPI 1336146745
Enumeration Date 06/30/2005
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 11 years ago
Authorized Information
Name JONATHAN LEE JONATHAN
Position TREASURER
Phone (480) 558-0777
Fax (480) 558-0888
Practice Location
2550 E GUADALUPE RD
SUITE 101
GILBERT AZ, 85234-5114, US
Phone (480) 558-0777
Fax (480) 558-0888
Business Location
2550 E GUADALUPE RD
SUITE 101
GILBERT AZ, 85234-5114, US
Phone (480) 558-0777
Fax (480) 558-0888
Toxanomy
Taxonomy Code 1223P0221X
License State Arizona
License Number =========
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According to our database, Pediatric Dental Specialists, Ppc NPI is 1336146745, taxonomy code is 1223P0221X and license number is =========, license state is located at Arizona. Pediatric Dental Specialists, Ppc physically located at 2550 E Guadalupe Rd, Gilbert AZ, 85234-5114. NPI Number 1033115704 has the healthcare provider type.

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1336146745 NPI number is provided on an as is basis without warranty of any kind. 1336146745 is maintained by the National Plan & Provider Enumeration System. The contents of Pediatric Dental Specialists, Ppc are for informational purposes only.