Organization
DSFD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDWARD SCOTT CONNELL DMD (DOCTOR)
(480) 839-7996
Entity
Organization
Contact information
Practice address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1764
(480) 839-7996
Mailing address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1764
(480) 839-7996
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D06107
AZ
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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