Provider Demographics
NPI:1558092197
Name:NEW TEMPO FAMILY DENTAL, LLC
Entity Type:Organization
Organization Name:NEW TEMPO FAMILY DENTAL, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VALENTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:LEONETT SERRANO
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:786-612-5688
Mailing Address - Street 1:2072 E SOUTHERN AVE STE A101
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85282-7500
Mailing Address - Country:US
Mailing Address - Phone:480-491-5000
Mailing Address - Fax:480-491-5993
Practice Address - Street 1:2072 E SOUTHERN AVE STE A101
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-7500
Practice Address - Country:US
Practice Address - Phone:480-491-5000
Practice Address - Fax:480-491-5993
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental