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Organization

SIGNATURE ARIZONA DENTAL PARTNERS LLC

Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Other names
Family Dentistry of Buckeye
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization

Contact information

Practice address
2525 S RURAL RD STE 2S, TEMPE, AZ 85282-2400
(480) 967-5788
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/20/2018
Last updated
12/16/2022
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