# DESERT MISSION INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Children's Dental Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114189487
- **Authorized official:** MS. CINDY HALLMAN (VICE PRESIDENT)
- **Authorized official phone:** (602) 870-6060

## Contact information

- **Practice address:** 9201 N 5TH ST, PHOENIX, AZ 85020-2532
- **Practice address phone:** (602) 870-6060
- **Practice address fax:** (602) 331-5819
- **Mailing address:** 9201 N 5TH ST, PHOENIX, AZ 85020-2532
- **Mailing address phone:** (602) 870-6060
- **Mailing address fax:** (602) 331-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | F0049 | AZ | Yes |

## Other

- **Enumeration date:** 06/27/2008
- **Last updated:** 11/09/2009