Organization
REM DDS LLC
Active
Parent organization
REM DDS LLC
Other names
Emergency Dental Phoenix
Organization subpart
Yes
Provider details
NPI number
Legal business name
REM DDS LLC
Authorized official
RIKKI LIEBERTH (MANAGER)
(402) 505-6843
Entity
Organization
Contact information
Practice address
4910 E GREENWAY RD, SCOTTSDALE, AZ 85254-1653
(402) 505-6843
Mailing address
6606 S 168TH ST STE 100, OMAHA, NE 68135-5420
(402) 505-6843
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
07/23/2024
Last updated
07/23/2024
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