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NPI Code Detail

MEDICARE: CENTER POINT DENTAL PLLC

MEDICARE: CENTER POINT DENTAL PLLC
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
1122300000XDentistD5800AZ

General Provider Information

NPI Number : 1407230972
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER POINT DENTAL PLLC
Provider Business Mailing Address
First Line : 9150 W INDIAN SCHOOL RD STE 106
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-2385
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9150 W INDIAN SCHOOL RD STE 106
Second Line :
City : PHOENIX
State : AZ
Zip : 85037-2385
Country : US
Telephone Number : 623-877-7800
Fax Number :
Authorized Official
Title or Position : MANAGER
Name : LOAN NGUYEN
Credential :
Telephone Number : 623-877-7800
Provider Enumeration Date : 07/15/2015
Last Update Date : 07/15/2015

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Directions to “CENTER POINT DENTAL PLLC ” Practice Location

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