Organization
GOLDWATER DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JENSEN DDS (DENTIST)
(815) 519-1559
Entity
Organization
Contact information
Practice address
3501 N SCOTTSDALE RD, #142, SCOTTSDALE, AZ 85251-5648
(480) 949-8070
Mailing address
3501 N SCOTTSDALE RD, #142, SCOTTSDALE, AZ 85251-5648
(480) 949-8070
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009393
AZ
Other
Enumeration date
04/15/2017
Last updated
04/15/2017
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