NPI 1215401567

Davita Dental Arts LLC

Organisation Dental Laboratory Scottsdale, AZ

Practice location

Address: 5900 N Granite Reef Rd STE 102, Scottsdale, AZ 85250-6280
Phone: (480) 406-9359
Mailing address: 10078 E Pershing Ave, Scottsdale, AZ 85260-7221

Authorised official

Name: Daniel Gold
Title: Member
Phone: (480) 406-9359

Registered specialties

Dental Laboratory Primary

Laboratories Taxonomy 292200000X

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Registry record

NPI: 1215401567
Entity type: Organization
NPI issued: 18 Jan 2019
Record last updated: 18 Jan 2019

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.