Organization
DELICATE DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ESTHER SHALAMOV FNP (OFFICE MANAGER)
(917) 660-0421
Entity
Organization
Contact information
Practice address
1855 W GREENWAY RD STE 107, PHOENIX, AZ 85023-3475
(602) 805-1110
(602) 805-1112
Mailing address
1855 W GREENWAY RD STE 107, PHOENIX, AZ 85023-3475
(602) 805-1110
(602) 805-1112
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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