DENTAL DEPOT 91ST & INDIAN SCHOOL, PLLC

PHOENIX, AZ
NPI1073204012
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Director Of Provider Relations
405-945-8941
Organization Subpart ?No
Primary Taxonomy1223G0001X Dentist, General Practice
Enumeration Date2023-05-19
Last Update Date2023-05-19
Business Address
DENTAL DEPOT 91ST & INDIAN SCHOOL, PLLC
4115 N. 91ST AVE.
PHOENIX, AZ 85037
Phone number: 623-604-6723
Mailing Address
DENTAL DEPOT 91ST & INDIAN SCHOOL, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 405-945-8941