| Shadow Ridge Dental Care | |
|
3970 E Riggs Rd Chandler AZ 85249-5412 | |
| (480) 214-4898 | |
| (480) 214-4902 |
| Full Name | Shadow Ridge Dental Care |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3970 E Riggs Rd, Chandler, Arizona |
| Authorized Official Name and Position | Shaun Patrick Gardner (MEMBER) |
| Authorized Official Contact | 4802144898 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shadow Ridge Dental Care 3970 E Riggs Rd Chandler AZ 85249-5412 Ph: (480) 214-4898 | Shadow Ridge Dental Care 3970 E Riggs Rd Chandler AZ 85249-5412 Ph: (480) 214-4898 |
| NPI Number | 1689934515 |
|---|---|
| Provider Enumeration Date | 05/25/2012 |
| Last Update Date | 05/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689934515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 5603 (Arizona) | Primary |
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