# ADMINISURG LLC

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

## Provider details

- **NPI number:** 1598337255
- **Authorized official:** ANTONIA TERUEL CASTELLON DMD (OWNER)
- **Authorized official phone:** (480) 945-3629

## Contact information

- **Practice address:** 1489 S HIGLEY RD BLDG 1, GILBERT, AZ 85296-4776
- **Practice address phone:** (480) 945-3629
- **Practice address fax:** (480) 664-8972
- **Mailing address:** PO BOX 29650 880338, PHOENIX, AZ 85038-9650
- **Mailing address phone:** (480) 945-3629
- **Mailing address fax:** (480) 664-8972

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223X2210X | Orofacial Pain Dentistry | — | NULL | Yes |
| 1223X2210X | Orofacial Pain Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 07/13/2021
- **Last updated:** 07/13/2021