Organization
J STANLEY REIDHEAD DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH STANLEY REIDHEAD D.D.S. (PRESIDENT)
(480) 839-0366
Entity
Organization
Contact information
Practice address
2076 E SOUTHERN AVE, SUITE C-103, TEMPE, AZ 85282-7596
(480) 839-0366
(480) 775-8608
Mailing address
2076 E SOUTHERN AVE, SUITE C 103, TEMPE, AZ 85282-7520
(480) 839-0366
(480) 775-8608
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3344
AZ
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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