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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
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
Authorized Official Information Name: MRS. ERIONA ROBESCU
Title: EXECUTIVE DIRECTOR
Phone: 623-866-8790
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 261QD0000X - Clinic/Center Dental
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location