Organization
AZ PERIO PLLC
Active
Other names
Paradise Valley Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN GORDON REITAN DDS (PRESIDENT)
(480) 991-0090
Entity
Organization
Contact information
Practice address
7425 E SHEA BLVD STE 110, SCOTTSDALE, AZ 85260-6411
(480) 991-0090
(480) 951-2278
Mailing address
7425 E SHEA BLVD STE 110, SCOTTSDALE, AZ 85260-6411
(480) 991-0090
(480) 951-2278
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
2104
AZ
1223P0300X
Periodontics
5031
AZ
1223P0300X
Periodontics
Primary
5633
AZ
1223P0300X
Periodontics
6988
AZ
Other
Enumeration date
11/15/2006
Last updated
01/27/2022
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