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Organization

JENKINS ARIZONA DENTAL PARTNERS PC

Active
Parent organization
SIGNATURE DENTAL PARTNERS LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SIGNATURE DENTAL PARTNERS LLC
Authorized official
MELODY BENNION (SENIOR INTEGRATIONS SPECIALIST)
(480) 234-8490
Entity
Organization

Contact information

Practice address
18275 N 59TH AVE # D-120, GLENDALE, AZ 85308-1260
(602) 973-7204
(602) 943-1534
Mailing address
410 N 44TH ST STE 290, PHOENIX, AZ 85008-7622
(480) 234-8490

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
11/30/2020
Last updated
11/30/2020
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