# ESPECIALIDADES DENTALES LTD.

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

## Provider details

- **NPI number:** 1356555320
- **Authorized official:** DR. UTTAM B. PRAJAPATI D.D.S. (OWNER DENTIST)
- **Authorized official phone:** (602) 266-9659

## Contact information

- **Practice address:** 4008 N 33RD AVE, PHOENIX, AZ 85017-4510
- **Practice address phone:** (602) 266-9659
- **Practice address fax:** (602) 266-8275
- **Mailing address:** 4008 N 33RD AVE, PHOENIX, AZ 85017-4510
- **Mailing address phone:** (602) 266-9659
- **Mailing address fax:** (602) 266-8275

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 2628 | AZ | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 08/22/2020