Organization
PROMENADE DENTAL PLLC
Active
Parent organization
NEWPORT DENTAL LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEWPORT DENTAL LLC
Authorized official
JAMES MICHAEL WEI D.D.S. (MEMBER)
(480) 802-8188
Entity
Organization
Contact information
Practice address
4905 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5503
(480) 802-8188
Mailing address
4905 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5503
(480) 802-8188
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/13/2010
Last updated
02/13/2010
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