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Organization
AZ PERIO PLLC
Active
Organization
AZ PERIO PLLC
Active
Other names
Paradise Valley Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GORDON REITAN DDS (PRESIDENT)
(480) 991-0090
Entity
Organization
Contact information
Practice address
7425 E SHEA BLVD STE 110, SCOTTSDALE, AZ 85260-6411
(480) 991-0090
(480) 951-2278
Mailing address
7425 E SHEA BLVD STE 110, SCOTTSDALE, AZ 85260-6411
(480) 991-0090
(480) 951-2278
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2104
AZ
1223P0300X
Periodontics
5031
AZ
1223P0300X
Periodontics
Primary
5633
AZ
1223P0300X
Periodontics
6988
AZ
Other
Enumeration date
11/15/2006
Last updated
01/27/2022
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