Organization
WESTSIDE DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE SPINE D.M.D. (OWNER)
(623) 849-0477
Entity
Organization
Contact information
Practice address
2330 N 75TH AVE STE 112, PHOENIX, AZ 85035-1200
(623) 849-0477
Mailing address
2330 N 75TH AVE STE 112, PHOENIX, AZ 85035-1200
(623) 849-0477
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5786
AZ
Other
Enumeration date
07/09/2006
Last updated
08/22/2020
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