Organization
ESPECIALIDADES DENTALES LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UTTAM B. PRAJAPATI D.D.S. (OWNER DENTIST)
(602) 266-9659
Entity
Organization
Contact information
Practice address
4008 N 33RD AVE, PHOENIX, AZ 85017-4510
(602) 266-9659
(602) 266-8275
Mailing address
4008 N 33RD AVE, PHOENIX, AZ 85017-4510
(602) 266-9659
(602) 266-8275
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2628
AZ
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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