Organization
ARIZONA MOBILE DENTAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM BUCKHANAN (COORDINATOR)
(480) 899-7996
Entity
Organization
Contact information
Practice address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 899-7996
Mailing address
2010 E ELLIOT RD STE 105, TEMPE, AZ 85284-1790
(480) 899-7996
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D009270
AZ
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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