Organization
51ST DMSO LLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANDREA FROST (BUSINESS MANAGER)
(702) 771-0015
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE STE 162, GLENDALE, AZ 85308-4624
(623) 303-0044
Mailing address
2735 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85286-4404
(702) 525-4500
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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