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Organization
THE DENTAL BOUTIQUE PLLC
Active
Organization
THE DENTAL BOUTIQUE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DARREN ANDERSON DMD (CEO)
(480) 531-3631
Entity
Organization
Contact information
Practice address
8075 E MORGAN TRL STE 3, SCOTTSDALE, AZ 85258-1213
(480) 531-3631
Mailing address
2128 W TALLGRASS TRL UNIT 216, PHOENIX, AZ 85085-0743
(480) 531-3631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/09/2019
Last updated
10/10/2019
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