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Organization
TS DENTAL MANAGEMENT LLC
Active
Organization
TS DENTAL MANAGEMENT LLC
Active
Other names
Tru Smile Ahwatukee
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRAN (MANAGER)
(480) 477-3090
Entity
Organization
Contact information
Practice address
4530 E RAY RD STE 170, PHOENIX, AZ 85044-6097
(480) 477-3090
Mailing address
4530 E RAY RD STE 170, PHOENIX, AZ 85044-6097
(480) 477-3090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
NULL
122300000X
Dentist
—
—
261Q00000X
Clinic/Center
—
NULL
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
12/23/2020
Last updated
12/28/2020
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