Organization
TRINITY ENT AND FACIAL AESTHETICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VEENA V VATS MD (OWNERPHYSICIAN)
(480) 558-3223
Entity
Organization
Contact information
Practice address
3485 S MERCY RD, SUITE 103, GILBERT, AZ 85297-0429
(480) 558-3223
(480) 558-5152
Mailing address
3485 S MERCY RD, SUITE 103, GILBERT, AZ 85297-0429
(480) 558-3223
(480) 558-5152
Taxonomy
Speciality
Code
Description
License number
State
207YS0123X
Facial Plastic Surgery Physician
Primary
34172
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
212627
—
AZ
Enumeration date
07/22/2009
Last updated
07/22/2009
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