Organization
DESIGN DENTAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA REPTA (OFFICE MANAGER)
(623) 561-1470
Entity
Organization
Contact information
Practice address
9784 W YEARLING RD STE B-1500, PEORIA, AZ 85383-1379
(623) 561-1470
(623) 561-1169
Mailing address
9784 W YEARLING RD STE B-1500, PEORIA, AZ 85383-1379
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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