Organization
ARROWHEAD PROSTHODONTICS PLLC
Active
Other names
Arrowhead Prosthodontics & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREEDEVI THULASIDAS DDS,MS (OWNER)
(623) 266-9601
Entity
Organization
Contact information
Practice address
18555 N 79TH AVE STE A101, GLENDALE, AZ 85308-8371
(623) 266-9601
Mailing address
18555 N 79TH AVE STE A101, GLENDALE, AZ 85308-8371
(623) 266-9601
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
D07677
AZ
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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