# C AND E DENTAL PROFESSIONALS

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

## Provider details

- **NPI number:** 1063976488
- **Authorized official:** DEBORAH BONNET (OPERATIONS MANAGER)
- **Authorized official phone:** (602) 882-0676

## Contact information

- **Practice address:** 13821 N 35TH DR STE 2, PHOENIX, AZ 85053-5541
- **Practice address phone:** (602) 547-9007
- **Mailing address:** 13821 N 35TH DR STE 2, PHOENIX, AZ 85053-5541
- **Mailing address phone:** (602) 547-9007
- **Mailing address fax:** (602) 547-3438

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 01/30/2019
- **Last updated:** 05/22/2024