Organization
LAKE PLEASANT DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARON BADER (OWNER)
(623) 825-5595
Entity
Organization
Contact information
Practice address
9059 W LAKE PLEASANT PKWY, STE F 600, PEORIA, AZ 85382-8336
(623) 825-5595
(623) 825-5129
Mailing address
9059 W LAKE PLEASANT PKWY, STE F 600, PEORIA, AZ 85382-8336
(623) 825-5595
(623) 825-5129
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5241
AZ
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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