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Organization
MARIPOSA DENTAL GROUP, PLC
Active
Organization
MARIPOSA DENTAL GROUP, PLC
Active
Other names
Smile Arizona Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH VANDER SCHAAF DDS (DENTIST)
(480) 994-5225
Entity
Organization
Contact information
Practice address
7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
(809) 994-5225
(480) 462-1898
Mailing address
7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
(809) 994-5225
(480) 462-1898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D04426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000826545
UNITED CONCORDIA
—
01
—
1033258496
NPI
—
05
—
149775
—
AZ
Enumeration date
12/29/2015
Last updated
07/30/2020
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