Organization
AZ DENTIST LLC
Active
Organization
AZ DENTIST LLC
Active
Other names
1st Classic Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JANNE MARJORIE LYNCH DDS (OWNER)
(480) 279-3700
Entity
Organization
Contact information
Practice address
13203 N 103RD AVE STE G1, SUN CITY, AZ 85351-6015
(623) 974-6660
Mailing address
13203 N 103RD AVE STE G1, SUN CITY, AZ 85351-6015
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
09/21/2023
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