# CONIAM DENTAL LLC

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

## Provider details

- **NPI number:** 1235913872
- **Authorized official:** DR. MICHAEL CONIAM DMD (OWNER)
- **Authorized official phone:** (602) 510-9838

## Contact information

- **Practice address:** 15341 W WADDELL RD STE B-107, SURPRISE, AZ 85379-5169
- **Practice address phone:** (623) 233-1020
- **Mailing address:** 10752 W PRICKLY PEAR TRL, PEORIA, AZ 85383-9691
- **Mailing address phone:** (602) 510-9838

## Taxonomy

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

## Other

- **Enumeration date:** 08/23/2023
- **Last updated:** 08/23/2023