Organization
VALLEY DENTAL CARE PC
Active
Other names
Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A VARDA D.M.D. (OWNER)
(480) 897-2483
Entity
Organization
Contact information
Practice address
1300 N MCCLINTOCK DR, SUITE E12, CHANDLER, AZ 85226-7205
(480) 897-2483
(480) 820-1218
Mailing address
1300 N MCCLINTOCK DR, SUITE E12, CHANDLER, AZ 85226-7205
(480) 897-2483
(480) 820-1218
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4384
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
859936
UNITED CONCORDIA
AZ
01
—
AZ0485310
BLUE CROSS BLUE SHIELD AZ
AZ
Enumeration date
05/26/2006
Last updated
08/22/2020
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