Organization
SCOTTSDALE SEDATION MANAGEMENT, CO. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER SLEPAK (MANAGING MEMBER)
(215) 327-3557
Entity
Organization
Contact information
Practice address
8600 E VIA DE VENTURA, SUITE 202, SCOTTSDALE, AZ 85258-3323
(480) 948-4455
Mailing address
8600 E VIA DE VENTURA, SUITE 202, SCOTTSDALE, AZ 85258-3323
(480) 948-4455
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D7043
AZ
Other
Enumeration date
12/22/2009
Last updated
12/22/2009
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