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Organization

THE DENTAL BOUTIQUE PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DARREN ANDERSON DMD (CEO)
(480) 531-3631
Entity
Organization

Contact information

Practice address
8075 E MORGAN TRL STE 3, SCOTTSDALE, AZ 85258-1213
(480) 531-3631
Mailing address
2128 W TALLGRASS TRL UNIT 216, PHOENIX, AZ 85085-0743
(480) 531-3631

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
10/09/2019
Last updated
10/10/2019
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