Organization
CONIAM DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CONIAM DMD (OWNER)
(602) 510-9838
Entity
Organization
Contact information
Practice address
15341 W WADDELL RD STE B-107, SURPRISE, AZ 85379-5169
(623) 233-1020
Mailing address
10752 W PRICKLY PEAR TRL, PEORIA, AZ 85383-9691
(602) 510-9838
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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