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Organization

ONE HUNDRED DENTAL PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GERALD PAIK DDS (MEMBER MANAGER)
(480) 426-0135
Entity
Organization

Contact information

Practice address
11000 N SCOTTSDALE RD STE 290, SCOTTSDALE, AZ 85254
(480) 426-0135
(480) 676-1626
Mailing address
11000 N SCOTTSDALE RD STE 290, SCOTTSDALE, AZ 85254-5269
(480) 426-0135
(480) 676-1626

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
06/05/2018
Last updated
06/07/2018
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