# 1ST AMERICAN DENTAL

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

## Provider details

- **NPI number:** 1750032629
- **Authorized official:** MR. JOEY GRAZIANO (OFFICE MANAGER)
- **Authorized official phone:** (480) 687-2266

## Contact information

- **Practice address:** 55 E BROADWAY RD, TEMPE, AZ 85282-1302
- **Practice address phone:** (480) 687-2266
- **Mailing address:** 55 E BROADWAY RD, TEMPE, AZ 85282-1302
- **Mailing address phone:** (480) 687-2266

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 01/12/2022
- **Last updated:** 01/12/2022