| Queen Creek Modern Dentistry, Llp | |
|
25166 S Ellsworth Rd Ste B107 Queen Creek AZ 85142-0326 | |
| (602) 730-9795 | |
| Not Available |
| Full Name | Queen Creek Modern Dentistry, Llp |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 25166 S Ellsworth Rd Ste B107, Queen Creek, Arizona |
| Authorized Official Name and Position | Apeldin Aghassi (DMD) |
| Authorized Official Contact | 7148458500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queen Creek Modern Dentistry, Llp Po Box 920050 Dallas TX 75392-0050 Ph: () - | Queen Creek Modern Dentistry, Llp 25166 S Ellsworth Rd Ste B107 Queen Creek AZ 85142-0326 Ph: (602) 730-9795 |
| NPI Number | 1619725900 |
|---|---|
| Provider Enumeration Date | 05/10/2024 |
| Last Update Date | 05/10/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619725900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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