| Az Dentist LLC | |
|
10245 E Via Linda Ste 226 Scottsdale AZ 85258-5345 | |
| (480) 630-2188 | |
| Not Available |
| Full Name | Az Dentist LLC |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 10245 E Via Linda Ste 226, Scottsdale, Arizona |
| Authorized Official Name and Position | Janne Lynch (OWNER) |
| Authorized Official Contact | 6023035827 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Az Dentist LLC 10245 E Via Linda Ste 226 Scottsdale AZ 85258-5345 Ph: (480) 630-2188 | Az Dentist LLC 10245 E Via Linda Ste 226 Scottsdale AZ 85258-5345 Ph: (480) 630-2188 |
| NPI Number | 1639636020 |
|---|---|
| Provider Enumeration Date | 02/21/2019 |
| Last Update Date | 09/19/2023 |
| Certification Date | 09/19/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639636020 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (NU) | Primary |
| 207LP2900X | Anesthesiology - Pain Medicine | (NU) | Secondary |
| 208VP0000X | Pain Medicine - Pain Medicine | (NU) | Secondary |
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