Organization
UPTOWN FAMILY DENTISTRY & ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED POPE DDS (OWNER)
(480) 332-6111
Entity
Organization
Contact information
Practice address
213 E MONTEREY WAY, PHOENIX, AZ 85012-2619
(602) 265-6456
Mailing address
4146 NEUMAN RD, SAINT CLAIR, MI 48079-3234
(810) 326-0091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5625
AZ
Other
Enumeration date
12/17/2013
Last updated
12/17/2013
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