Organization
PEORIA DENTAL CENTER GROUP, LLC
Active
Other names
Peoria Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RASOUL SALIM (OWNER)
(623) 877-5700
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE STE 115, PEORIA, AZ 85345-8390
(623) 877-5700
Mailing address
8914 N 91ST AVE STE 115, PEORIA, AZ 85345-8390
(623) 877-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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