| Surprise Dental, Llc | |
|
16630 W Greenway Rd Suite 319 Surprise AZ 85388-2185 | |
| (623) 582-9622 | |
| Not Available |
| Full Name | Surprise Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 16630 W Greenway Rd, Surprise, Arizona |
| Authorized Official Name and Position | Fawne E Pryor (OFFICE MANAGER) |
| Authorized Official Contact | 6235829622 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Surprise Dental, Llc 16630 W Greenway Rd Suite 319 Surprise AZ 85388-2185 Ph: (623) 582-9622 | Surprise Dental, Llc 16630 W Greenway Rd Suite 319 Surprise AZ 85388-2185 Ph: (623) 582-9622 |
| NPI Number | 1942454483 |
|---|---|
| Provider Enumeration Date | 11/11/2008 |
| Last Update Date | 11/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942454483 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D5002 (Arizona) | Primary |
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