Organization
AHWATUKEE FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RUSH D.D.S. (OWNER)
(480) 893-7674
Entity
Organization
Contact information
Practice address
11022 S 51ST ST STE 105, PHOENIX, AZ 85044-1789
(480) 893-7674
Mailing address
11022 S 51ST ST STE 105, PHOENIX, AZ 85044-1789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3885
AZ
Other
Enumeration date
10/10/2012
Last updated
10/10/2012
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