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Contact Information

75TH AVE DENTAL STUDIO
7025 N 75TH AVE STE 101
GLENDALE, AZ85303-2545
 Phone: 480-205-6961
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 75TH AVE DENTAL STUDIO · (Female)

NPI Number 1316607401
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2021
Last updated 12/30/2021 - About 4 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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