Organization
RIDGE DENTAL SPECIALISTS LLC
Active
Other names
Canyon Ridge Endodontics
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS PAUL LAMMOT DDS (PRESIDENT ENDODONTIST)
(480) 538-8100
Entity
Organization
Contact information
Practice address
20950 N TATUM BLVD, SUITE 210, PHOENIX, AZ 85050
(480) 538-8100
(480) 538-8101
Mailing address
20950 N TATUM BLVD, SUITE 210, PHOENIX, AZ 85050
(480) 538-8100
(480) 538-8101
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
D6278
AZ
1223E0200X
Endodontics
Primary
D6338
AZ
1223E0200X
Endodontics
D6932
AZ
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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