Organization
MOON PAYNE MANAGEMENT LLP
Active
Other names
AZ Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBBIE A GRAGG (PRACTICE MANAGER)
(480) 222-8083
Entity
Organization
Contact information
Practice address
3930 S ALMA SCHOOL RD, BLDG. B, STE. 6, CHANDLER, AZ 85248-4510
(480) 222-8083
(480) 222-8084
Mailing address
3930 S ALMA SCHOOL RD, BLDG. B, STE. 6, CHANDLER, AZ 85248-4510
(480) 222-8083
(480) 222-8084
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D5136
AZ
1223G0001X
General Practice Dentistry
Primary
D5144
AZ
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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