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Organization
BILTMORE PERIODONTICS, PLLC
Active
Organization
BILTMORE PERIODONTICS, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENNY SUE MCKINNEY (OFFICE MANAGER)
(480) 218-7590
Entity
Organization
Contact information
Practice address
1277 E MISSOURI AVE STE 102, PHOENIX, AZ 85014-2916
(480) 218-7590
(480) 218-2247
Mailing address
6755 E. SUPERSTITION SPRINGS BLVD, STE. 102, MESA, AZ 85206
(480) 218-7590
(480) 218-2247
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7751
AZ
Other
Enumeration date
03/21/2018
Last updated
03/21/2018
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