Organization
QUEEN CREEK IMPLANTS & PERIODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY BENAVIDEZ (OFFICE MANAGER)
(480) 247-6558
Entity
Organization
Contact information
Practice address
22363 E DOMINGO RD STE 103, QUEEN CREEK, AZ 85142-0353
(480) 247-6558
(480) 275-2404
Mailing address
22363 E DOMINGO RD STE 103, QUEEN CREEK, AZ 85142-0353
(480) 247-6558
(480) 275-2404
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
06/24/2024
Last updated
07/15/2024
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