Organization
AMBERWOOD DENTAL PARTNERS
Active
Parent organization
EAST WEST DENTAL GROUP
Other names
Allegra Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAST WEST DENTAL GROUP
Authorized official
TODD NICHOLAS (OWNER)
(480) 427-6419
Entity
Organization
Contact information
Practice address
840 E MCKELLIPS RD STE 101, MESA, AZ 85203-9654
(480) 656-9616
(480) 534-7021
Mailing address
840 E MCKELLIPS RD STE 101, MESA, AZ 85203-9654
(480) 656-9616
(480) 534-7021
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
AZ
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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