Organization
XERXES DENTAL ENTERPRISES LLC
Active
Other names
Dentistry of Arizona
Organization subpart
No
Provider details
NPI number
Authorized official
ALLEN EWELL DMD (OWNER)
(216) 513-4609
Entity
Organization
Contact information
Practice address
13954 W WADDELL RD STE 112, SURPRISE, AZ 85379-8751
(623) 889-6000
Mailing address
9314 W MONTE LINDO, PEORIA, AZ 85383-4221
(216) 513-4609
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/20/2021
Last updated
02/20/2021
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