DENTAL DEPOT OF SURPRISE, PLLC

SURPRISE, AZ
NPI1912538497
Entity TypeOrganization
Authorized ContactGAYLON ZISSA
Professional Relations Manager
405-945-8941
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2020-02-03
Last Update Date2021-06-25
Business Address
DENTAL DEPOT OF SURPRISE, PLLC
13828 W. GREENWAY RD.
SURPRISE, AZ 85374
Phone number: 623-562-9123
Mailing Address
DENTAL DEPOT OF SURPRISE, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 623-562-9123
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