# PASEO DENTAL PLLC

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

## Provider details

- **NPI number:** 1346322260
- **Authorized official:** DR. OUT OF BUSINESS DMD (MEMBER)
- **Authorized official phone:** (602) 978-3878

## Contact information

- **Practice address:** 6120 WEST BELL RD, SUITE 190, GLENDALE, AZ 85308-3786
- **Practice address phone:** (602) 978-3878
- **Practice address fax:** (602) 978-1481
- **Mailing address:** 6120 WEST BELL RD, SUITE 190, GLENDALE, AZ 85308-3786
- **Mailing address phone:** (602) 978-3878
- **Mailing address fax:** (602) 978-1481

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2607 | AZ | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 04/10/2010