| Solterra Dentistry Llc | |
|
15255 N 40th St Ste 111 Phoenix AZ 85032-4636 | |
| (602) 788-0730 | |
| Not Available |
| Full Name | Solterra Dentistry Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 15255 N 40th St Ste 111, Phoenix, Arizona |
| Authorized Official Name and Position | Tera Goolsby (ACCOUNTANT) |
| Authorized Official Contact | 6232892616 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Solterra Dentistry Llc 34225 N 27th Dr Ste 241 Phoenix AZ 85085-6091 Ph: (623) 289-2580 | Solterra Dentistry Llc 15255 N 40th St Ste 111 Phoenix AZ 85032-4636 Ph: (602) 788-0730 |
| NPI Number | 1003421009 |
|---|---|
| Provider Enumeration Date | 09/15/2020 |
| Last Update Date | 09/15/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003421009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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