# MARBELLA DENTAL STUDIO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** marbella dental studio
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053110494
- **Authorized official:** MRS. PAOLA A FANN (OWNER)
- **Authorized official phone:** (480) 202-3250

## Contact information

- **Practice address:** 4845 E THUNDERBIRD RD STE 3, SCOTTSDALE, AZ 85254-3539
- **Practice address phone:** (602) 996-1660
- **Practice address fax:** (602) 996-2321
- **Mailing address:** 4845 E THUNDERBIRD RD STE 3, SCOTTSDALE, AZ 85254-3539
- **Mailing address phone:** (602) 996-1660
- **Mailing address fax:** (602) 996-2321

## Taxonomy

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

## Other

- **Enumeration date:** 03/10/2025
- **Last updated:** 03/12/2025