# DENTOPRO, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003691312
- **Authorized official:** DR. KEVIN TO DMD (PRESIDENT)
- **Authorized official phone:** (626) 512-8328

## Contact information

- **Practice address:** 5940 W UNION HILLS DR STE F110, GLENDALE, AZ 85308-1304
- **Practice address phone:** (602) 863-7692
- **Practice address fax:** (602) 863-7697
- **Mailing address:** 635 E PIPING ROCK RD, PHOENIX, AZ 85022-4215
- **Mailing address phone:** (626) 512-8328

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/28/2023
- **Last updated:** 08/28/2023