# PROMENADE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** NEWPORT DENTAL LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1922330141
- **Legal business name:** NEWPORT DENTAL LLC
- **Authorized official:** JAMES MICHAEL WEI D.D.S. (MEMBER)
- **Authorized official phone:** (480) 802-8188

## Contact information

- **Practice address:** 4905 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5503
- **Practice address phone:** (480) 802-8188
- **Mailing address:** 4905 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5503
- **Mailing address phone:** (480) 802-8188

## Taxonomy

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

## Other

- **Enumeration date:** 02/13/2010
- **Last updated:** 02/13/2010