Organization
BRENDA TAEGE, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA TAEGE D.D.S. (MANAGING MEMBER)
(480) 860-6744
Entity
Organization
Contact information
Practice address
8416 E SHEA BLVD, SUITE C100, SCOTTSDALE, AZ 85260-6666
(480) 860-6744
(480) 860-8777
Mailing address
8416 E SHEA BLVD, SUITE C100, SCOTTSDALE, AZ 85260-6666
(480) 860-6744
(480) 860-8777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5941
AZ
Other
Enumeration date
05/08/2007
Last updated
10/30/2008
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