IDENTITY DENTAL SPECIALTIES

PHOENIX, AZ
NPI1275484495
Entity TypeOrganization
Authorized ContactMARIYANA PAVLOVA
CEO, President
480-661-4867
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2026-02-04
Last Update Date2026-02-04
Business Address
IDENTITY DENTAL SPECIALTIES
18325 N ALLIED WAY STE 115
PHOENIX, AZ 85054-3107
Phone number: 480-661-4867
Mailing Address
IDENTITY DENTAL SPECIALTIES
18325 N ALLIED WAY STE 115
PHOENIX, AZ 85054-3107
Phone number: 480-661-4867
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