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Provider Information for 1326554106



APPLE TREE DENTISTRY, LLC

Organization Subpart: NO

Organization NPI: 1326554106

Calendar Last Updated: 2017-12-15

Details

Name Value
NPI 1326554106
Enumeration Date 2017-12-15
NPI Type 2- Organization
Status Active
Authorized Official Information Name: MRS. ERIONA ROBESCU
Title: EXECUTIVE DIRECTOR
Phone: 623-866-8790
Mailing Address 7364 W BANFF LN
PEORIA, AZ 85381-4474
United States

Phone: | Fax:
View Map External Link
Primary Practice Address 13048 W RANCHO SANTA FE BLVD 114
AVONDALE, AZ 85392
United States

Phone: 623-536-3377 | Fax:
View Map External Link
Health Information Exchange
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location
Other Identifiers
Issuer State Number
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 261QD0000X - Clinic/Center Dental