Organization
DDL DENTAL
Active
Other names
Direct Dentures
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BISETTI (OWNER)
(623) 875-7917
Entity
Organization
Contact information
Practice address
15416 N 99TH AVE, SUN CITY, AZ 85351-1962
(623) 875-7917
Mailing address
15416 N 99TH AVE, SUN CITY, AZ 85351-1962
(623) 875-7917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
AZ
Other
Enumeration date
11/06/2007
Last updated
07/21/2022
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