Organization
DNC HOLDINGS LLC
Active
Other names
Tiny Teeth Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAN L NYDEGGER D.D.S. (OWNER)
(602) 776-9700
Entity
Organization
Contact information
Practice address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
(602) 776-9700
(602) 776-9699
Mailing address
4244 N 19TH AVE, PHOENIX, AZ 85015-5108
(602) 776-9700
(602) 776-9699
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5540
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
619645
—
AZ
Enumeration date
07/22/2006
Last updated
08/22/2020
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