| Dr Dana 11050 Llc | |
|
11050 N Saguaro Blvd Ste 101 Fountain Hills AZ 85268-5551 | |
| (480) 837-1315 | |
| Not Available |
| Full Name | Dr Dana 11050 Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 11050 N Saguaro Blvd Ste 101, Fountain Hills, Arizona |
| Authorized Official Name and Position | Vicenta Reyes (LEAD OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Dana 11050 Llc 11050 N Saguaro Blvd Ste 101 Fountain Hills AZ 85268-5551 Ph: (480) 837-1315 | Dr Dana 11050 Llc 11050 N Saguaro Blvd Ste 101 Fountain Hills AZ 85268-5551 Ph: (480) 837-1315 |
| NPI Number | 1861130858 |
|---|---|
| Provider Enumeration Date | 05/20/2022 |
| Last Update Date | 05/20/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861130858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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