Organization
TORGERSON DENTAL LLC
Active
Other names
Triumph Dental
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER TORGERSON (OWNER)
(480) 888-9596
Entity
Organization
Contact information
Practice address
22717 S ELLSWORTH RD, SUITE B102, QUEEN CREEK, AZ 85142-6127
(480) 888-9596
Mailing address
22717 S ELLSWORTH RD, SUITE B102, QUEEN CREEK, AZ 85142-6127
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D009339
AZ
Other
Enumeration date
10/23/2015
Last updated
10/23/2015
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