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Contact Information

ACACIA ENDODONTICS AT AHWATUKEE
15215 S 48TH ST STE 136
PHOENIX, AZ85044-9138
 Phone: 480-704-8550
 Fax: 480-704-0199
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ACACIA ENDODONTICS AT AHWATUKEE · (Female)

NPI # 1720423908
Status Active
Credentials
Entity Individual
Enumeration date 05/01/2013
Last updated 05/01/2013 - About 13 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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