Organization
BELLROAD DENTISTRY LLC
Active
Other names
Bell Road Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
TERA GOOLSBY (ACCOUNTANT)
(623) 289-2616
Entity
Organization
Contact information
Practice address
17061 N AVENUE OF THE ARTS STE 101, SURPRISE, AZ 85378-6996
(623) 246-5025
Mailing address
34225 N 27TH DR STE 241, PHOENIX, AZ 85085-6091
(623) 289-2616
(623) 289-2015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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