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Surprise Pediatric Dentistry, Pc
Dental Clinic/Center in Surprise, Arizona
NPI 1114462330

Surprise Pediatric Dentistry, Pc is a Dental Clinic/Center based in Surprise, AZ and is specialized in Dental. Surprise Pediatric Dentistry, Pc practices in Surprise, AZ. The NPI Number for Surprise Pediatric Dentistry, Pc is 1114462330 and holds a License No. D008930 (Arizona).

The current practice location address for Surprise Pediatric Dentistry, Pc is 15331 W Bell Rd, Surprise, AZ and can be reached out via phone at 602-730-6481 and via fax at 602-730-6482.

Location: 15331 W Bell Rd, Surprise, AZ, 85374-4102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1114462330
Provider Name
Surprise Pediatric Dentistry, Pc
Credential
Provider Entity Type
Organization
Address
15331 W Bell Rd, Surprise, AZ, 85374-4102
Phone Number
602-730-6481
Fax Number
602-730-6482
Provider Enumeration Date
12/23/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
200173 05 AZ
institution
Provider Business Practice Location Address Details
Address
15331 W Bell Rd
City
Surprise
State
Arizona
Zip
85374-4102
Phone Number
602-730-6481
Fax Number
602-730-6482
person
Provider Business Mailing Address Details
Address
15331 W Bell Rd
City
Surprise
State
Arizona
Zip
85374-4102
Phone Number
602-730-6481
Fax Number
602-730-6482
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
261QD0000X
License No.
D008930 (Arizona)
Definition
Definition to come...
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