# PWR DENTAL, LLC

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

## Provider details

- **NPI number:** 1154016467
- **Authorized official:** AMY LECUYER RDH (OWNER/RDH)
- **Authorized official phone:** (802) 922-8486

## Contact information

- **Practice address:** 1545 S POWER RD STE 112, MESA, AZ 85206-3736
- **Practice address phone:** (802) 922-8486
- **Mailing address:** 20071 E ESCALANTE RD, QUEEN CREEK, AZ 85142-9815
- **Mailing address phone:** (802) 922-8486

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/11/2023
- **Last updated:** 04/11/2023
