Organization
PHOENIX DENTAL CENTER PLLC
Active
Other names
Phoenix Dental center pllc
Organization subpart
No
Provider details
NPI number
Authorized official
JASON H NORDEAN (DENTIST)
(602) 650-1700
Entity
Organization
Contact information
Practice address
1950 W INDIAN SCHOOL RD STE 6, PHOENIX, AZ 85015-5114
(602) 650-1700
(602) 650-1704
Mailing address
1950 W INDIAN SCHOOL RD STE 6, PHOENIX, AZ 85015-5114
(602) 650-1700
(602) 650-1704
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8657
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816919
—
AZ
Enumeration date
09/12/2014
Last updated
09/12/2014
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