AZ SPECIALTY DENTAL SERVICES, LLC

ANTHEM, AZ
NPI1013757848
Doing Business AsSHEPPARD PEDIATRIC DENTISTRY
Entity TypeOrganization
Authorized ContactCHARLOTTE V DASCH
Direc Of Cred And Pr
504-638-0303
Organization Subpart ?Yes
Primary Taxonomy1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2024-05-29
Last Update Date2024-05-29
Business Address
AZ SPECIALTY DENTAL SERVICES, LLC
41930 N VENTURE DR STE 140
ANTHEM, AZ 85086-3859
Phone number: 623-551-2992
Mailing Address
AZ SPECIALTY DENTAL SERVICES, LLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 615-678-0759