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NPI Code Detail

MEDICARE: ALISA UCHITEL DMD

MEDICARE: ALISA UCHITEL DMD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223G0001XGeneral Practice DentistryD009731AZ

General Provider Information

NPI Number : 1225566755
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALISA UCHITEL DMD
Provider Business Mailing Address
First Line : 5956 W LONE CACTUS DR
Second Line :
City : GLENDALE
State : AZ
Zip : 85308-6359
Country : US
Telephone Number : 440-836-2854
Fax Number :
Provider Business Practice Location Address
First Line : 14858 N FRANK LLOYD WRIGHT BLVD STE 165A
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85260-2216
Country : US
Telephone Number : 480-860-4455
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2017
Last Update Date : 05/29/2017

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Directions to “ ALISA UCHITEL DMD” Practice Location

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