Organization
AGAVE FAMILY DENTAL PLLC
Active
Other names
Agave Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA PERKINS (PRACTICE MANAGER)
(480) 830-0262
Entity
Organization
Contact information
Practice address
855 E WARNER RD STE 104, CHANDLER, AZ 85225-0998
(480) 389-2452
Mailing address
855 E WARNER RD STE 104, CHANDLER, AZ 85225-0998
(480) 389-2452
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2018
Last updated
03/28/2018
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