# PROMENADE DENTAL GROUP, LLP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PROMENADE DENTAL GROUP
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285798462
- **Authorized official:** DR. BRIAN D BUEHLER DDS (OWNER DDS)
- **Authorized official phone:** (623) 478-1624

## Contact information

- **Practice address:** 2755 S 99TH AVE, STE 105, TOLLESON, AZ 85353
- **Practice address phone:** (623) 478-1624
- **Practice address fax:** (623) 907-5854
- **Mailing address:** 2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
- **Mailing address phone:** (714) 508-3600
- **Mailing address fax:** (714) 368-2092

## Taxonomy

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

## Other

- **Enumeration date:** 12/21/2006
- **Last updated:** 09/13/2010