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CONTINENTAL DENTAL CARE 19TH AVE LLC NPI 1942402094


NPI Information

NPI: 1942402094
Provider Name: CONTINENTAL DENTAL CARE 19TH AVE LLC

Doing Business As: CONTINENTAL DENTAL CARE

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5501 N 19TH AVE
SUITE 103
PHOENIX, AZ
ZIP 85015
Phone: (602) 246-1119
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CONTINENTAL DENTAL CARE 19TH AVE LLC is a dental clinic center in Phoenix, AZ. CONTINENTAL DENTAL CARE 19TH AVE LLC NPI is 1942402094. The provider is registered as an organization entity type.
The provider Is Doing Business As Continental Dental Care.

The provider's business location address is:

5501 N 19TH AVE
SUITE 103
PHOENIX, AZ
ZIP 85015-450
Phone: (602) 246-1119
Fax: (602) 249-5080

The provider's authorized official is Henry A Vasquez .
The authorized official title is Member and has the following contact phone number (623) 326-8426.

The enumeration date for this NPI number is 6/1/2007 and was last updated on 5/15/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental0213ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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