Organization
POLISHED HOLDINGS, INC.
Active
Other names
Poished The Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TAYLOR BLACKWOOD (PRESIDENT)
(901) 275-0572
Entity
Organization
Contact information
Practice address
15811 N FRANK LLOYD WRIGHT BLVD, SUITE 130, SCOTTSDALE, AZ 85260-3000
(480) 767-1077
Mailing address
15210 N SCOTTSDALE RD, SUITE 240, SCOTTSDALE, AZ 85254-8124
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D7870
AZ
124Q00000X
Dental Hygienist
H007508
AZ
124Q00000X
Dental Hygienist
H007556
AZ
Other
Enumeration date
03/04/2014
Last updated
03/04/2014
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