DESERT RIDGE PEDIATRIC DENTISTRY

PHOENIX, AZ
NPI1811176860
Entity TypeOrganization
Authorized ContactLIDIETH R LIBBY
Owner
480-585-5868
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
(Licence: AZ  5548)
Enumeration Date2007-10-26
Last Update Date2015-07-17
Business Address
DESERT RIDGE PEDIATRIC DENTISTRY
5315 E. HIGH STREET SUITE 115
PHOENIX, AZ 85054
Phone number: 480-585-5868
Mailing Address
DESERT RIDGE PEDIATRIC DENTISTRY
5315 E HIGH ST SUITE 115
PHOENIX, AZ 85054-5438
Phone number: 480-585-5868
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