Organization
STUDIO DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAELANNE CHADWICK (RECEPTIONIST)
(520) 575-5576
Entity
Organization
Contact information
Practice address
10550 N LA CANADA DR, SUITE 106, ORO VALLEY, AZ 85737-7130
(520) 575-5576
(520) 308-4894
Mailing address
10550 N LA CANADA DR, SUITE 106, ORO VALLEY, AZ 85737-7130
(520) 575-5576
(520) 308-4894
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6203
AZ
122300000X
Dentist
9026
AZ
Other
Enumeration date
11/30/2015
Last updated
11/30/2015
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