Age Defying Dentistry

LBN: Age Defying Dentistry
Age Defying Dentistry is an health care organization with primary practice located at 21321 East Ocotillo Rd Bldg M, Ste 130 , Queen Creek AZ 85142. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Age Defying Dentistry can be contacted via phone (480) 840-9200, or through Velasco, David J via phone (480) 840-9200.

Contact Information

Primary practice address
21321 East Ocotillo Rd Bldg M, Ste 130 Queen Creek AZ 85142
Phone: (480) 840-9200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Velasco, David J Doctor of Dental Surgery (DDS)
Phone: (480) 840-9200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X AZ4044 Arizona

Profile Details

NPI number 1962721001
LBN Legal business name Age Defying Dentistry
DBA Doing business as
Authorized official Velasco, David J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 28th, 2010
Last updated May 28th, 2010 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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