# FLORENCE DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Florence Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003061250
- **Authorized official:** DR. JASON WHETTEN DMD (OWNER/DENTIST)
- **Authorized official phone:** (520) 868-3384

## Contact information

- **Practice address:** 46 E 11TH ST, FLORENCE, AZ 85232
- **Practice address phone:** (520) 868-3384
- **Mailing address:** PO BOX 1319, FLORENCE, AZ 85232-1319
- **Mailing address phone:** (520) 868-3384

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | D7646 | AZ | Yes |

## Other

- **Enumeration date:** 12/01/2008
- **Last updated:** 12/01/2008