# AZ PRIME DENTAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** AZ Prime Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154202539
- **Authorized official:** SARGIS TOVMASYAN (OWNER)
- **Authorized official phone:** (818) 913-0202

## Contact information

- **Practice address:** 14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
- **Practice address phone:** (623) 292-3231
- **Practice address fax:** (623) 288-6649
- **Mailing address:** 14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
- **Mailing address phone:** (623) 292-3231
- **Mailing address fax:** (623) 288-6649

## Taxonomy

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

## Other

- **Enumeration date:** 09/11/2025
- **Last updated:** 02/06/2026