| Lake Pleasant Kids Dentists And Orthoontics | |
|
24775 North Lake Pleasant Parkway Suite 104 Peoria AZ 85383 | |
| (623) 600-4638 | |
| (623) 707-4098 |
| Full Name | Lake Pleasant Kids Dentists And Orthoontics |
|---|---|
| Speciality | Dentist |
| Location | 24775 North Lake Pleasant Parkway Suite 104, Peoria, Arizona |
| Authorized Official Name and Position | Lisa Bienstock (OWNER) |
| Authorized Official Contact | 6236004638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Pleasant Kids Dentists And Orthoontics Po Box 920050 Dallas TX 75392-0050 Ph: () - | Lake Pleasant Kids Dentists And Orthoontics 24775 North Lake Pleasant Parkway Suite 104 Peoria AZ 85383 Ph: (623) 600-4638 |
| NPI Number | 1528694247 |
|---|---|
| Provider Enumeration Date | 03/13/2020 |
| Last Update Date | 02/10/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528694247 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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