Organization
AESTHETIC DENTISTRY OF SCOTTSDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE EDWARD MILLER DDS (OWNER)
(480) 513-2620
Entity
Organization
Contact information
Practice address
9377 E BELL RD STE 301, SCOTTSDALE, AZ 85260-1505
(480) 513-2620
(480) 513-9308
Mailing address
9598 E SOUTHWIND LN, SCOTTSDALE, AZ 85262-3656
(480) 223-7675
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5415
AZ
Other
Enumeration date
05/24/2007
Last updated
08/22/2020
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