Organization
IRONWOOD PEDIATRIC DENTISTRY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BEN J. HIMMELSTEIN (CHIEF LEGAL OFFICER)
(480) 229-7498
Entity
Organization
Contact information
Practice address
10213 N 92ND ST STE H102, SCOTTSDALE, AZ 85258-4561
(480) 422-4544
(480) 307-9957
Mailing address
10213 N 92ND ST STE H102, SCOTTSDALE, AZ 85258-4561
(480) 422-4544
(480) 307-9957
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
—
—
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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