Organization
DAVITA DENTAL ARTS LLC
Active
Organization
DAVITA DENTAL ARTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL GOLD (MEMBER)
(480) 406-9359
Entity
Organization
Contact information
Practice address
5900 N GRANITE REEF RD STE 102, SCOTTSDALE, AZ 85250-6280
(480) 406-9359
Mailing address
10078 E PERSHING AVE, SCOTTSDALE, AZ 85260-7221
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Enumeration date
01/18/2019
Last updated
01/18/2019
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