Provider Demographics
NPI:1730145236
Name:ROSENTHAL CHIANG DENTISTRY, P.L.C.
Entity type:Organization
Organization Name:ROSENTHAL CHIANG DENTISTRY, P.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:JACLYN
Authorized Official - Middle Name:RENE'
Authorized Official - Last Name:L'HEUREUX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-661-7745
Mailing Address - Street 1:8438 E SHEA BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6669
Mailing Address - Country:US
Mailing Address - Phone:480-661-7745
Mailing Address - Fax:480-661-5216
Practice Address - Street 1:8438 E SHEA BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6669
Practice Address - Country:US
Practice Address - Phone:480-661-7745
Practice Address - Fax:480-661-5216
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty