Queen Creek Pediatric Dentistry Llc

NPI 1063618916 - Dentist - 1223P0221X

NPI Details
NPI 1063618916
Enumeration Date 06/26/2007
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name JOEL R JOEL
Position DENTIST
Phone (480) 503-3764
Fax (480) 380-0336
Practice Location
7400 S POWER RD
BLDG 6, STE 132
GILBERT AZ, 85297, US
Phone (480) 503-3764
Fax (480) 380-0336
Business Location
7400 S POWER RD
BLDG 6, STE 132
GILBERT AZ, 85297, US
Phone (480) 503-3764
Fax (480) 380-0336
Toxanomy
Taxonomy Code 1223P0221X
License State Arizona
License Number 5179
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According to our database, Queen Creek Pediatric Dentistry Llc NPI is 1063618916, taxonomy code is 1223P0221X and license number is 5179, license state is located at Arizona. Queen Creek Pediatric Dentistry Llc physically located at 7400 S Power Rd, Gilbert AZ, 85297. NPI Number 1033115704 has the healthcare provider type.

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1063618916 NPI number is provided on an as is basis without warranty of any kind. 1063618916 is maintained by the National Plan & Provider Enumeration System. The contents of Queen Creek Pediatric Dentistry Llc are for informational purposes only.