ERISA SAM, DMD
Dentist - General Practice
Active
Individual
NPI: 1477177491
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Dentist - General Practice | 1223G0001X | Yes | D010677 (AZ) |
Frequently Asked Questions
NPI 1477177491 is the National Provider Identifier for ERISA SAM, DMD, a Dentist - General Practice provider located in Phoenix, AZ. This NPI was enumerated on June 5, 2020.
ERISA SAM, DMD practices at 10720 W INDIAN SCHOOL RD STE 55, Phoenix, AZ 85037.
Quick Facts
- NPI
- 1477177491
- Type
- Individual
- Enumerated
- Jun 5, 2020
- Last Updated
- Jun 5, 2020
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