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Organization
DENTAL HOME, LLC
Active
Organization
DENTAL HOME, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL R HULL DDS (OWNER)
(602) 615-0651
Entity
Organization
Contact information
Practice address
720 E THUNDERBIRD RD STE 2, PHOENIX, AZ 85022-5396
(602) 863-3000
Mailing address
13821 N MOON DR, PHOENIX, AZ 85023-7120
(602) 615-0651
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
11/05/2018
Last updated
11/05/2018
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