| Prime Dental Care, Llc | |
|
5030 West Baseline Road Phoenix AZ 85339-7331 | |
| (602) 237-8880 | |
| Not Available |
| Full Name | Prime Dental Care, Llc |
|---|---|
| Speciality | Dentist |
| Location | 5030 West Baseline Road, Phoenix, Arizona |
| Authorized Official Name and Position | Dean H Walker (PARTNER) |
| Authorized Official Contact | 6022378880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prime Dental Care, Llc 5030 West Baseline Road Phoenix AZ 85339-7331 Ph: (602) 237-8880 | Prime Dental Care, Llc 5030 West Baseline Road Phoenix AZ 85339-7331 Ph: (602) 237-8880 |
| NPI Number | 1003038621 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003038621 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | AZ2025 (Arizona) | Primary |
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