AZ SDS III LLC

PHOENIX, AZ
NPI1184500852
Entity TypeOrganization
Authorized ContactCHARLOTTE DASCH
Sr Director Of Credentialing
504-638-0303
Organization Subpart ?No
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
Additional Taxonomies1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
Enumeration Date2025-08-15
Last Update Date2025-08-15
Business Address
AZ SDS III LLC
4232 E CHANDLER BLVD STE 10
PHOENIX, AZ 85048-8879
Phone number: 480-759-1119
Mailing Address
AZ SDS III LLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 504-638-0303