Healthcare Provider Details

I. General information

NPI: 1619027687
Provider Name (Legal Business Name): JULIE ANFINSON D.D.S., M.S.D
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6868 E BECKER LN #101
SCOTTSDALE AZ
85254-6708
US

IV. Provider business mailing address

6868 E BECKER LN #101
SCOTTSDALE AZ
85254-6708
US

V. Phone/Fax

Practice location:
  • Phone: 480-609-8506
  • Fax: 480-948-5339
Mailing address:
  • Phone: 480-609-8506
  • Fax: 480-948-5339

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223P0221X
TaxonomyPediatric Dentistry
License Number3700
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: