| Az Prime Dental Llc | |
|
14291 W Grand Ave Ste 100-102 Surprise AZ 85374-4298 | |
| (818) 913-0202 | |
| Not Available |
| Full Name | Az Prime Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 14291 W Grand Ave Ste 100-102, Surprise, Arizona |
| Authorized Official Name and Position | Sargis Tovmasyan (OWNER) |
| Authorized Official Contact | 8189130202 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Prime Dental Llc 14291 W Grand Ave Ste 100-102 Surprise AZ 85374-4298 Ph: () - | Az Prime Dental Llc 14291 W Grand Ave Ste 100-102 Surprise AZ 85374-4298 Ph: (818) 913-0202 |
| NPI Number | 1154202539 |
|---|---|
| Provider Enumeration Date | 09/11/2025 |
| Last Update Date | 09/11/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154202539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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