DESERT RIDGE PROSTHODONTICS

PHOENIX, AZ
NPI1477732436
Entity TypeOrganization
Authorized ContactGREGORY A LIBBY
Owner
480-502-9833
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: AZ  5457)
Enumeration Date2007-10-26
Last Update Date2007-10-26
Business Address
DESERT RIDGE PROSTHODONTICS
20950 N TATUM BLVD SUITE 340
PHOENIX, AZ 85050-4200
Phone number: 480-502-9833
Mailing Address
DESERT RIDGE PROSTHODONTICS
20950 N TATUM BLVD SUITE 340
PHOENIX, AZ 85050-4200
Phone number: 480-502-9833
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