Provider Demographics
NPI:1609200195
Name:AAR ACQUISITIONS LLC
Entity Type:Organization
Organization Name:AAR ACQUISITIONS LLC
Other - Org Name:IMAGE DENTISTRY OF GLENDALE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VP OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ANDERSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:727-561-7666
Mailing Address - Street 1:13535 FEATHER SOUND DR
Mailing Address - Street 2:STE. 220
Mailing Address - City:CLEARWATER
Mailing Address - State:FL
Mailing Address - Zip Code:33762-2259
Mailing Address - Country:US
Mailing Address - Phone:727-561-7666
Mailing Address - Fax:727-561-0999
Practice Address - Street 1:6120 W BELL RD STE 180
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-3788
Practice Address - Country:US
Practice Address - Phone:602-298-7200
Practice Address - Fax:602-298-7202
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SEBRING DENTAL OF ARIZONA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-09-03
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty