| Plaza Del Rio Dentistry, Llc | |
|
13660 N 94th Dr Suite B1 Peoria AZ 85381-4836 | |
| (623) 977-2551 | |
| (623) 977-9590 |
| Full Name | Plaza Del Rio Dentistry, Llc |
|---|---|
| Speciality | Dentist |
| Location | 13660 N 94th Dr, Peoria, Arizona |
| Authorized Official Name and Position | Fawne E Pryor (INS MGR) |
| Authorized Official Contact | 6239772551 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plaza Del Rio Dentistry, Llc 13660 N 94th Dr Suite B1 Peoria AZ 85381-4836 Ph: (623) 977-2551 | Plaza Del Rio Dentistry, Llc 13660 N 94th Dr Suite B1 Peoria AZ 85381-4836 Ph: (623) 977-2551 |
| NPI Number | 1134359425 |
|---|---|
| Provider Enumeration Date | 07/21/2009 |
| Last Update Date | 07/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134359425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5988 (Arizona) | Primary |
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