Organization
AZ DENTAL IMPLANT CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SKY MOORE (MEMBER)
(602) 386-8972
Entity
Organization
Contact information
Practice address
7102 E ACOMA DR, SCOTTSDALE, AZ 85254-2771
(602) 386-8972
Mailing address
7601 E INDIAN BEND RD APT 1050, SCOTTSDALE, AZ 85250-4689
(602) 386-8972
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
02/12/2020
Last updated
02/12/2020
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