Organization
PLAZA WATERFRONT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY GREENE III DDS (OWNER)
(480) 837-8100
Entity
Organization
Contact information
Practice address
12625 N SAGUARO BLVD STE 108, FOUNTAIN HILLS, AZ 85268-4184
(480) 837-8100
Mailing address
10543 E CORTEZ DR, SCOTTSDALE, AZ 85259-2938
(602) 358-3674
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/16/2018
Last updated
11/16/2018
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