# OCOTILLO TRAILS FAMILY DENTISTRY

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

## Provider details

- **NPI number:** 1033380316
- **Authorized official:** DR. MATTHEW J SCHEERHORN DDS (CO-PRESIDENT)
- **Authorized official phone:** (480) 358-1675

## Contact information

- **Practice address:** 40975 N IRONWOOD RD, \#A102, QUEEN CREEK, AZ 85240-8906
- **Practice address phone:** (480) 457-1977
- **Mailing address:** 40975 N IRONWOOD RD, \#A102, QUEEN CREEK, AZ 85240-8906
- **Mailing address phone:** (480) 457-1977

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 03/14/2008
- **Last updated:** 03/14/2008
