Organization
SCORESBY PEDIATRIC DENTAL
Active
Other names
Chandler Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT WILLIAM SCORESBY DDS (OWNER)
(480) 855-8315
Entity
Organization
Contact information
Practice address
2095 W FRYE RD STE 2, CHANDLER, AZ 85224-6280
(480) 855-8315
(480) 855-8316
Mailing address
655 S DOBSON RD, BUILDING B SUITE 214, CHANDLER, AZ 85224-5667
(480) 855-1315
(480) 855-8316
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
D7962
AZ
1223P0221X
Pediatric Dentistry
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
535113
—
AZ
05
—
814503
—
AZ
Enumeration date
04/24/2007
Last updated
02/19/2018
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