Individual
DR. TRIVENI VILAS PADALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
17018 W BELL RD, SURPRISE, AZ 85374-2433
(623) 214-1708
Mailing address
17081 W GREENWAY RD STE 120, SURPRISE, AZ 85388-9612
(623) 546-8400
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011824
AZ
Other
Enumeration date
06/12/2023
Last updated
10/25/2024
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