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Contact Information

AESTHETIC DENTAL ARTS, LLC
595 N DOBSON RD
SUITE B-40
CHANDLER, AZ85224-4226
 Phone: 480-786-9030
 Fax: 480-786-4079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AESTHETIC DENTAL ARTS, LLC

NPI # 1346782208
LBN Legal business name AESTHETIC DENTAL ARTS, LLC
Authorized official RYAN WALLIN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/09/2016
Last updated 11/09/2016 - About 10 years ago
Identifiers
AZ License # D5282
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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