Organization
PHOENIX DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL WASSEF D.D.S. (MEMBER/OWNER)
(602) 232-1980
Entity
Organization
Contact information
Practice address
5115 N DYSART RD, SUITE 202-142, LITCHFIELD PARK, AZ 85340-3032
(602) 232-1980
Mailing address
1423 N 16TH ST, PHOENIX, AZ 85006-3004
(602) 232-1980
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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