| Az Cosmetic & Family Dentistry | |
|
13695 N 75th Ave Peoria AZ 85381-6098 | |
| (602) 439-1101 | |
| (602) 789-1653 |
| Full Name | Az Cosmetic & Family Dentistry |
|---|---|
| Speciality | Clinic/center |
| Location | 13695 N 75th Ave, Peoria, Arizona |
| Authorized Official Name and Position | Vasudha Narra (OWNER) |
| Authorized Official Contact | 6024391101 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Cosmetic & Family Dentistry 13695 N 75th Ave Peoria AZ 85381-6098 Ph: (602) 439-1101 | Az Cosmetic & Family Dentistry 13695 N 75th Ave Peoria AZ 85381-6098 Ph: (602) 439-1101 |
| NPI Number | 1043645765 |
|---|---|
| Provider Enumeration Date | 09/12/2013 |
| Last Update Date | 11/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043645765 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | D07658 (Arizona) | Primary |
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