Organization
ARIZONA PEDIATRIC DENTAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED W WELCH D.D.S. (OWNER)
(480) 917-9339
Entity
Organization
Contact information
Practice address
3011 S LINDSAY RD, 108, GILBERT, AZ 85295-4332
(480) 917-9339
(480) 821-2980
Mailing address
3011 S LINDSAY RD, 108, GILBERT, AZ 85295-4332
(480) 917-9339
(480) 821-2980
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
5685
AZ
1223P0221X
Pediatric Dentistry
8729
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821497
—
AZ
05
—
914227
—
AZ
Enumeration date
06/27/2016
Last updated
06/27/2016
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