Organization
QUEEN CREEK PEDIATRIC DENTISTRY LLC
Active
Other names
A to Z Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL R CLARK (DENTIST)
(480) 503-3764
Entity
Organization
Contact information
Practice address
7400 S POWER RD, BLDG 6, STE 132, GILBERT, AZ 85297
(480) 503-3764
(480) 380-0336
Mailing address
7400 S POWER RD, BLDG 6, STE 132, GILBERT, AZ 85297
(480) 503-3764
(480) 380-0336
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5179
AZ
Other
Enumeration date
06/26/2007
Last updated
08/22/2020
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