Organization
MADISON PEDIATRIC DENTISTRY PLLC
Active
Other names
Madison Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RISHI POPAT DMD, DMSC. (PRESIDENT)
(602) 697-8149
Entity
Organization
Contact information
Practice address
635 E MARYLAND AVE, PHOENIX, AZ 85012-1133
(602) 313-8707
Mailing address
635 E MARYLAND AVE, PHOENIX, AZ 85012-1133
(602) 313-8707
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/08/2019
Last updated
04/08/2019
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