Provider Demographics
NPI:1538732920
Name:DF DENTAL PLLC
Entity type:Organization
Organization Name:DF DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:5O PERCENT OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:
Authorized Official - Last Name:QUATTRO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:480-216-0431
Mailing Address - Street 1:2905 W. WARNER RD #15
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224
Mailing Address - Country:US
Mailing Address - Phone:480-386-0019
Mailing Address - Fax:480-831-6054
Practice Address - Street 1:2905 W. WARNER RD #15
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224
Practice Address - Country:US
Practice Address - Phone:480-386-0019
Practice Address - Fax:480-831-6054
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-22
Last Update Date:2021-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty