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Organization
AZ PRIME DENTAL LLC
Active
Organization
AZ PRIME DENTAL LLC
Active
Other names
AZ Prime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SARGIS TOVMASYAN (OWNER)
(818) 913-0202
Entity
Organization
Contact information
Practice address
14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
(623) 292-3231
(623) 288-6649
Mailing address
14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
(623) 292-3231
(623) 288-6649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/11/2025
Last updated
02/06/2026
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