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Organization
EAST SCOTTSDALE PEDIATRIC DENTAL, PC
Active
Organization
EAST SCOTTSDALE PEDIATRIC DENTAL, PC
Active
Other names
Dental Associates For Kids Only
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CANDACE H VENEBERG D.D.S (DIRECTOR)
(501) 850-5110
Entity
Organization
Contact information
Practice address
12020 E SHEA BLVD, STE 8, SCOTTSDALE, AZ 85259-4179
(480) 767-5600
Mailing address
12020 E SHEA BLVD, STE 8, SCOTTSDALE, AZ 85259-4179
(480) 767-5600
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D009209
AZ
Other
Enumeration date
09/21/2015
Last updated
10/18/2015
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