NPI 1295278315

Primary Family Dentistry

Organisation Exclusive Provider Organization Phoenix, AZ

Practice location

Address: 5527 N 27th Ave, Phoenix, AZ 85017-2602
Phone: (602) 249-3339
Fax: (602) 232-1981

Authorised official

Name: William Sayegh
Title: Owner
Phone: (602) 741-4816

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 09001737 (AZ)

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Registry record

NPI: 1295278315
Entity type: Organization
NPI issued: 21 Nov 2016
Record last updated: 21 Nov 2016

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.