Organization
AZ PRIME DENTAL LLC
Active
Other names
AZ Prime Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SARGIS TOVMASYAN (OWNER)
(818) 913-0202
Entity
Organization
Contact information
Practice address
14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
(623) 292-3231
(623) 288-6649
Mailing address
14291 W GRAND AVE STE 102, SURPRISE, AZ 85374-4298
(623) 292-3231
(623) 288-6649
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/11/2025
Last updated
02/06/2026
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