Organization
PRIME TIME DENTAL INC
Active
Other names
Prime Time Dental
Organization subpart
No
Provider details
NPI number
Authorized official
AILEEN L RICHARDSON RDH (PRESIDENT)
(480) 421-0113
Entity
Organization
Contact information
Practice address
3226 N MILLER RD, SUITE 1, SCOTTSDALE, AZ 85251
(480) 421-0113
(480) 421-0115
Mailing address
3226 N MILLER RD, SUITE 1, SCOTTSDALE, AZ 85251
(480) 421-0113
(480) 421-0115
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/12/2006
Last updated
08/22/2020
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