| Alta Sky Dental, Llc | |
|
4303 W Peoria Ave Suite 104 Glendale AZ 85302-2005 | |
| (623) 374-3714 | |
| Not Available |
| Full Name | Alta Sky Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 4303 W Peoria Ave, Glendale, Arizona |
| Authorized Official Name and Position | Jared Justice (MEMBER) |
| Authorized Official Contact | 8582088451 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alta Sky Dental, Llc 4303 W Peoria Ave Suite 104 Glendale AZ 85302-2005 Ph: (623) 374-3714 | Alta Sky Dental, Llc 4303 W Peoria Ave Suite 104 Glendale AZ 85302-2005 Ph: (623) 374-3714 |
| NPI Number | 1396146759 |
|---|---|
| Provider Enumeration Date | 09/04/2014 |
| Last Update Date | 09/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396146759 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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