Organization
PLAZA DEL RIO DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FAWNE E PRYOR (INS MGR)
(623) 977-2551
Entity
Organization
Contact information
Practice address
13660 N 94TH DR, SUITE B1, PEORIA, AZ 85381-4836
(623) 977-2551
(623) 977-9590
Mailing address
13660 N 94TH DR, SUITE B1, PEORIA, AZ 85381-4836
(623) 977-2551
(623) 977-9590
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5988
AZ
Other
Enumeration date
07/21/2009
Last updated
07/21/2009
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