# BAPTIST DENTAL CENTER, INC.

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

## Provider details

- **NPI number:** 1073919452
- **Authorized official:** DR. JACK J HUH D.D.S. (DENTIST / OWNER)
- **Authorized official phone:** (623) 939-6215

## Contact information

- **Practice address:** 7802 N 43RD AVE STE 8, GLENDALE, AZ 85301-8111
- **Practice address phone:** (623) 939-6215
- **Mailing address:** 7802 N 43RD AVE STE 8, GLENDALE, AZ 85301-8111
- **Mailing address phone:** (623) 939-6215

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D04284 | AZ | Yes |

## Other

- **Enumeration date:** 11/12/2014
- **Last updated:** 11/12/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 102905 | — | AZ |