Organization
DESIGNER DENTAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA NIEDENS (ACCOUNTANT)
(623) 289-2616
Entity
Organization
Contact information
Practice address
20542 N LAKE PLEASANT RD STE 101, PEORIA, AZ 85382-9749
(623) 334-0012
Mailing address
34225 N 27TH DR STE 241, PHOENIX, AZ 85085-6091
(623) 289-2616
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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