# A TENDER DENTAL CARE V LLC

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

## Provider details

- **NPI number:** 1598262917
- **Authorized official:** MR. JASON A WANG (OFFICE MANAGER)
- **Authorized official phone:** (480) 824-8165

## Contact information

- **Practice address:** 25355 N LAKE PLEASANT PKWY UNIT 103, PEORIA, AZ 85383-1504
- **Practice address phone:** (480) 824-8165
- **Mailing address:** 25355 N LAKE PLEASANT PKWY UNIT 103, PEORIA, AZ 85383-1504
- **Mailing address phone:** (480) 824-8165

## Taxonomy

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

## Other

- **Enumeration date:** 04/11/2018
- **Last updated:** 04/11/2018