Organization
DENTAL CENTER OF SCOTTSDALE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONATHAN KALIKA DMO (OWNER/DENTIST)
(480) 457-0996
Entity
Organization
Contact information
Practice address
6945 E. SAHUARO, DR. STE A-3, SCOTTSDALE, AZ 85254
(480) 951-3333
(980) 951-0436
Mailing address
6945 E. SAHUARO, DR. STE A-3, SCOTTSDALE, AZ 85254
(480) 951-3333
(980) 951-0436
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1639230329
—
AZ
Enumeration date
05/19/2020
Last updated
05/19/2020
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