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Organization

CHILDREN'S DENTAL SPECIALTY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
VERONICA M MARTINEZ DDS (OWNER/DOCTOR)
(480) 282-6746
Entity
Organization

Contact information

Practice address
7600 E CAMELBACK RD, SUITE 8, SCOTTSDALE, AZ 85251-2106
(480) 282-6746
(602) 610-4737
Mailing address
7600 E CAMELBACK RD, SUITE 8, SCOTTSDALE, AZ 85251-2106
(480) 282-6746

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D008464
AZ
1223P0221X
Pediatric Dentistry
Primary
D8006
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
533913
AZ
05
719559
AZ
Enumeration date
07/27/2014
Last updated
11/22/2022
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