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Organization
RIDGE DENTAL SPECIALISTS LLC
Active
Organization
RIDGE DENTAL SPECIALISTS LLC
Active
Other names
Canyon Ridge Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PAUL LAMMOT DDS (PRESIDENT ENDODONTIST)
(480) 538-8100
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, SUITE 210, PHOENIX, AZ 85050
(480) 538-8100
(480) 538-8101
Mailing address
20950 N TATUM BLVD, SUITE 210, PHOENIX, AZ 85050
(480) 538-8100
(480) 538-8101
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D6278
AZ
1223E0200X
Endodontics
Primary
D6338
AZ
1223E0200X
Endodontics
D6932
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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