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Organization
UPTOWN PEDIATRIC DENTAL GROUP, PLLC
Active
Organization
UPTOWN PEDIATRIC DENTAL GROUP, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST NEHRER DDS (OWNER DOCTOR)
(831) 234-5526
Entity
Organization
Contact information
Practice address
1515 E MISSOURI AVE STE 103, PHOENIX, AZ 85014-2443
(602) 279-2981
Mailing address
7236 N 18TH PL, PHOENIX, AZ 85020-5236
(312) 345-5526
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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