# DESERT SAGE FAMILY DENTAL

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

## Provider details

- **NPI number:** 1487302279
- **Authorized official:** DR. JESSICA TEIMAN DMD (OWNER/DENTIST)
- **Authorized official phone:** (602) 246-2217

## Contact information

- **Practice address:** 2236 W BETHANY HOME RD STE 1, PHOENIX, AZ 85015-1934
- **Practice address phone:** (602) 246-2217
- **Mailing address:** 2236 W BETHANY HOME RD STE 1, PHOENIX, AZ 85015-1934
- **Mailing address phone:** (602) 246-2217

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 03/11/2022