Organization
AURORA DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FAWNE PRYOR (AR AND INSURANCE MANAGER)
(602) 944-0073
Entity
Organization
Contact information
Practice address
12301 W BELL RD STE A104, SURPRISE, AZ 85374-9707
(623) 434-0109
(623) 972-4821
Mailing address
2323 W MESCAL ST STE 205, PHOENIX, AZ 85029-4764
(602) 944-0073
(602) 944-0371
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5988
AZ
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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