NPI 1194113506

Esperanza Dental Clinic LLC

Organisation Public Health or Welfare Agency Phoenix, AZ

Practice location

Address: 321 W Hatcher Rd STE 108, Phoenix, AZ 85021-2400
Phone: (602) 368-4050
Mailing address: 10636 N 39th Ave, Phoenix, AZ 85029-4057

Authorised official

Name: Esperanza Alejandra Torres
Title: Owner/Sole Member
Phone: (602) 368-4050

Registered specialties

Public Health or Welfare Agency Primary

Agencies Taxonomy 251K00000X Licence H6723 (AZ)

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Registry record

NPI: 1194113506
Entity type: Organization
NPI issued: 7 Jan 2015
Record last updated: 7 Jan 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.