Organization
ARIZONA PERIODONTAL GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARIEL TRUJILLO D.M.D. (OWNER)
(602) 995-5045
Entity
Organization
Contact information
Practice address
1717 W NORTHERN AVE, STE 104, PHOENIX, AZ 85021-5469
(602) 995-5045
(602) 995-3222
Mailing address
1717 W NORTHERN AVE, STE 104, PHOENIX, AZ 85021-5469
(602) 995-5045
(602) 995-3222
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
AZ
Other
Enumeration date
05/21/2007
Last updated
02/22/2013
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