Thomas James Prade, DDS Valid NPI
Individual provider · General Practice Dentistry · Avondale, AZ
- NPI
- 1598837650
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- D7027 (AZ)
- Sex
- Male
- Sole proprietor
- Yes
- Enumerated
- 2006-11-14
- Last updated
- 2023-06-16
Practice location
13020 W Rancho Santa Fe Blvd Ste 102
Avondale, AZ 85392-2002
(623) 536-0044