Organization
SIGNATURE DENTAL PARTNERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELODY BENNION (DIRECTOR OF INTEGRATIONS)
(480) 234-8490
Entity
Organization
Contact information
Practice address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 626-4154
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/17/2020
Last updated
12/02/2020
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