Organization
SOUTHWEST DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MELISSA JEANBLANC (MANAGEMENT)
(480) 756-6522
Entity
Organization
Contact information
Practice address
485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
(480) 821-9022
Mailing address
485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
(480) 821-9022
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7364
AZ
Other
Enumeration date
08/28/2007
Last updated
08/28/2007
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