Organization
OCOTILLO FAMILY DENTISTRY LLC
Active
Other names
Ocotillo Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GIRIJA NADARAJAN (MANAGING MEMBER OWNER)
(480) 802-8686
Entity
Organization
Contact information
Practice address
995 E OCOTILLO RD, SUITE #3, CHANDLER, AZ 85249-3111
(480) 802-8686
(480) 802-8688
Mailing address
995 E OCOTILLO RD, SUITE #3, CHANDLER, AZ 85249-3111
(480) 802-8686
(480) 802-8688
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1886702
UCCI
AZ
01
—
78195
DHA
AZ
Enumeration date
05/03/2007
Last updated
08/22/2020
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