Organization
A TENDER DENTAL CARE V LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JASON A WANG (OFFICE MANAGER)
(480) 824-8165
Entity
Organization
Contact information
Practice address
25355 N LAKE PLEASANT PKWY UNIT 103, PEORIA, AZ 85383-1504
(480) 824-8165
Mailing address
25355 N LAKE PLEASANT PKWY UNIT 103, PEORIA, AZ 85383-1504
(480) 824-8165
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2018
Last updated
04/11/2018
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