Organization
MARTIN DENTAL-AIRPARK LLC
Active
Other names
Martin Dental Airpark
Organization subpart
No
Provider details
NPI number
Authorized official
LEANNA GONZALES (OFFICE COORDINATOR)
(480) 498-4191
Entity
Organization
Contact information
Practice address
1775 E QUEEN CREEK RD STE 130, CHANDLER, AZ 85286-2012
(480) 498-4191
(480) 586-7160
Mailing address
20556 E PECAN LN STE 130, QUEEN CREEK, AZ 85142-0504
(480) 498-4191
(480) 586-7160
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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