Organization
SHALIMAR FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHET L JENKINS DDS (PRESIDENT)
(480) 838-3355
Entity
Organization
Contact information
Practice address
2074 E SOUTHERN AVE, SUITE B102, TEMPE, AZ 85282-7580
(480) 838-3355
Mailing address
2074 E SOUTHERN AVE, SUITE B102, TEMPE, AZ 85282-7580
(480) 838-3355
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5252
AZ
Other
Enumeration date
08/11/2009
Last updated
08/11/2009
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