Organization
TS DENTAL MANAGEMENT LLC
Active
Other names
Tru Smile Ahwatukee
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY TRAN (MANAGER)
(480) 477-3090
Entity
Organization
Contact information
Practice address
4530 E RAY RD STE 170, PHOENIX, AZ 85044-6097
(480) 477-3090
Mailing address
4530 E RAY RD STE 170, PHOENIX, AZ 85044-6097
(480) 477-3090
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261Q00000X
Clinic/Center
—
—
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2020
Last updated
12/28/2020
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