# ACACIA ENDODONTICS AT AHWATUKEE

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

## Provider details

- **NPI number:** 1720423908
- **Authorized official:** CHRISTINA ARIEL (PRACTICE MANAGER)
- **Authorized official phone:** (480) 777-9938

## Contact information

- **Practice address:** 15215 S 48TH ST STE 136, PHOENIX, AZ 85044-9138
- **Practice address phone:** (480) 704-8550
- **Practice address fax:** (480) 704-0199
- **Mailing address:** 15215 S 48TH ST STE 136, PHOENIX, AZ 85044-9138
- **Mailing address phone:** (480) 704-8550
- **Mailing address fax:** (480) 704-0199

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | AZ | Yes |

## Other

- **Enumeration date:** 05/01/2013
- **Last updated:** 05/01/2013
