| Starlight Dental Services Inc | |
|
3440 W Cactus Rd Ste 1 Phoenix AZ 85029-2238 | |
| (623) 688-3364 | |
| (623) 244-0333 |
| Full Name | Starlight Dental Services Inc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3440 W Cactus Rd Ste 1, Phoenix, Arizona |
| Authorized Official Name and Position | Albert Tae (CEO) |
| Authorized Official Contact | 4243922715 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Starlight Dental Services Inc 3440 W Cactus Rd Ste 1 Phoenix AZ 85029-2238 Ph: (623) 688-3364 | Starlight Dental Services Inc 3440 W Cactus Rd Ste 1 Phoenix AZ 85029-2238 Ph: (623) 688-3364 |
| NPI Number | 1063015576 |
|---|---|
| Provider Enumeration Date | 11/17/2020 |
| Last Update Date | 04/23/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063015576 | NPI | - | NPPES |
| 2020P06513 | Other | AZ | ARIZONA DEPARTMENT OF PUBLIC SAFETY |
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