Organization
BELLEZZA LLC
Active
Other names
Scottsdale Skin And Holistic Health
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC DAVID MAASS (OWNER)
(602) 501-5087
Entity
Organization
Contact information
Practice address
7500 E PINNACLE PEAK RD STE A-207, SCOTTSDALE, AZ 85255-3406
(480) 419-6996
(480) 419-6134
Mailing address
39122 N 26TH ST, CAVE CREEK, AZ 85331-0797
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
AP4134
AZ
332900000X
Non-Pharmacy Dispensing Site
Primary
AP4134
AZ
Other
Enumeration date
08/16/2017
Last updated
08/16/2017
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