Organization
MARIPOSA DENTAL GROUP, PLC
Active
Other names
Smile Arizona Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH VANDER SCHAAF DDS (DENTIST)
(480) 994-5225
Entity
Organization
Contact information
Practice address
7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
(809) 994-5225
(480) 462-1898
Mailing address
7327 E THOMAS RD, SCOTTSDALE, AZ 85251-7215
(809) 994-5225
(480) 462-1898
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D04426
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000826545
UNITED CONCORDIA
—
01
—
1033258496
NPI
—
05
—
149775
—
AZ
Enumeration date
12/29/2015
Last updated
07/30/2020
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