# PERFECT TEETH / FLW & 101 P.C.

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

## Provider details

- **NPI number:** 1780092080
- **Authorized official:** ROSA LESSO (NATIONAL DIRECTOR OF RCM)
- **Authorized official phone:** (714) 571-3471

## Contact information

- **Practice address:** 15678 N FRANK LLOYD WRIGHT BLVD, SUITE C-125, SCOTTSDALE, AZ 85260-2093
- **Practice address phone:** (480) 661-0066
- **Practice address fax:** (480) 661-0044
- **Mailing address:** 15678 N FRANK LLOYD WRIGHT BLVD, SUITE C-125, SCOTTSDALE, AZ 85260-2093
- **Mailing address phone:** (480) 661-0066
- **Mailing address fax:** (480) 661-0044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 5496 | CO | Yes |

## Other

- **Enumeration date:** 07/30/2014
- **Last updated:** 09/15/2025
