Organization
SCOTTSDALE WEST PDC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
6501 E GREENWAY PKWY STE 161, SCOTTSDALE, AZ 85254-2069
(480) 536-9050
Mailing address
727 SOUTH 600 EAST STE 300, AMERICAN FORK, UT 84003
(801) 305-3460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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