AZ SDS III LLC

PHOENIX, AZ
NPI1861378549
Doing Business AsCAMELBACK PEDIATRIC DENTISTRY AND ORTHODONTICS
Entity TypeOrganization
Authorized ContactCHARLOTTE DASCH
Sr Director Of Credentialing
504-638-0303
Organization Subpart ?Yes
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
4901 N 44TH ST STE 101
PHOENIX, AZ 85018-2782
Phone number: 602-595-3531
Mailing Address
AZ SDS III LLC
1610 54TH AVE N STE 205
NASHVILLE, TN 37209-1442
Phone number: 504-638-0303