Organization
SP DENTAL
Active
Other names
Highrise Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANA PERNO (OWNER / DENTIST)
(602) 230-1161
Entity
Organization
Contact information
Practice address
3003 N CENTRAL AVE STE 630, PHOENIX, AZ 85012-2905
(602) 230-1161
Mailing address
3003 N CENTRAL AVE STE 630, PHOENIX, AZ 85012-2905
(602) 230-1161
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/28/2023
Last updated
06/12/2023
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