Organization
21152 RITTENHOUSE LLC
Active
Other names
Brush Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW BAKER DDS (MEMBER)
(480) 215-5133
Entity
Organization
Contact information
Practice address
22717 S ELLSWORTH RD STE B102, QUEEN CREEK, AZ 85142-7575
(480) 888-9596
Mailing address
22717 S ELLSWORTH RD STE B102, QUEEN CREEK, AZ 85142-7575
(480) 888-9596
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2018
Last updated
10/29/2018
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