# HEALING DENTISTRY PLLC

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

## Provider details

- **NPI number:** 1063001022
- **Authorized official:** MARIJA MITIC (DDS)
- **Authorized official phone:** (240) 715-8035

## Contact information

- **Practice address:** 125 W MCDOWELL RD STE B, PHOENIX, AZ 85003-1223
- **Practice address phone:** (602) 273-0013
- **Mailing address:** 125 W MCDOWELL RD STE B, PHOENIX, AZ 85003-1223
- **Mailing address phone:** (602) 273-0013

## Taxonomy

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

## Other

- **Enumeration date:** 01/14/2021
- **Last updated:** 01/14/2021
