Organization
RAY ROAD DMSO LLC
Active
Other names
Wellness Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TRACY H TRAN MPH (PRINCIPAL)
(408) 234-5099
Entity
Organization
Contact information
Practice address
2900 W RAY RD STE 3, CHANDLER, AZ 85224-7342
(480) 393-0687
Mailing address
2900 W RAY RD STE 3, CHANDLER, AZ 85224-7342
(480) 393-0687
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
162068
AZ
Other
Enumeration date
02/16/2016
Last updated
11/04/2022
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