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NPI Profile for DENTAL DEPOT 91ST INDIAN SCHOOL PLLC in PHOENIX, AZ.
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
General Practice |
1223G0001X |
| NPI Number | 1073204012 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 05/19/2023 | |
| Last updated | 05/30/2025 - More than a year ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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DENTAL DEPOT 91ST & INDIAN SCHOOL, PLLC
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DENTAL DEPOT 91ST & INDIAN SCHOOL, PLLC