# DENTAL SALON SCOTTSDALE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043072184
- **Authorized official:** MARK MORRIS DMD (OWNER)
- **Authorized official phone:** (602) 887-8373

## Contact information

- **Practice address:** 8980 N 90TH ST STE 130, SCOTTSDALE, AZ 85258-5398
- **Practice address phone:** (602) 887-8373
- **Mailing address:** 939 W NORTH AVE STE 890, CHICAGO, IL 60642-8683
- **Mailing address phone:** (312) 642-3370

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/24/2024
- **Last updated:** 01/24/2024