Organization
SURPRISE IMPLANTS & PROSTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHREEDEVI THULAISDAS DDS.MS (OWNER)
(623) 233-6236
Entity
Organization
Contact information
Practice address
14967 W BELL RD STE 100, SURPRISE, AZ 85374-3201
(623) 233-6236
(623) 670-5901
Mailing address
14967 W BELL RD STE 100, SURPRISE, AZ 85374-3201
(623) 233-6236
(623) 670-5901
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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