Organization
PHOENICIAN DENTAL CENTER LLC
Active
Other names
Phoenician Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANUPAM AHLAWAT (COO)
(480) 444-7447
Entity
Organization
Contact information
Practice address
1343 N ALMA SCHOOL RD, SUITE 160, CHANDLER, AZ 85224-5941
(480) 963-2797
(480) 407-7633
Mailing address
1343 N ALMA SCHOOL RD, SUITE 160, CHANDLER, AZ 85224-5941
(480) 963-2797
(480) 407-7633
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
L20648437
ARIZONA CORPORATION COMISSION FILE NUMBER
AZ
Enumeration date
10/05/2016
Last updated
10/05/2016
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