Individual
DR. TINA PTACEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
15180 N COTTON LN STE 104, SURPRISE, AZ 85388-7000
(623) 214-6543
Mailing address
23219 N DEL MONTE DR, SUN CITY WEST, AZ 85375-2372
(623) 628-6858
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
32491
TX
1223P0221X
Pediatric Dentistry
Primary
D7818
AZ
Other
Enumeration date
08/24/2009
Last updated
06/03/2020
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