Organization
CDS AHWATUKEE DENTAL, LLC
Active
Other names
Today's Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW DALEY (MANAGER)
(831) 595-8349
Entity
Organization
Contact information
Practice address
10850 S 48TH ST, PHOENIX, AZ 85044-1701
(831) 595-8349
Mailing address
10850 S 48TH ST, PHOENIX, AZ 85044-1701
(831) 595-8349
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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