Organization
DANI DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GABIE DOBRIKOV (ACCOUNT EXEC)
(602) 561-6566
Entity
Organization
Contact information
Practice address
1243 E BROADWAY RD STE 201, TEMPE, AZ 85282-1530
(480) 449-0909
Mailing address
1243 E BROADWAY RD STE 201, TEMPE, AZ 85282-1530
(480) 449-0909
Taxonomy
Speciality
Code
Description
License number
State
292200000X
Dental Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08485220
DENTAL LAB
AZ
Enumeration date
07/08/2022
Last updated
07/08/2022
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