# EICON DENTAL, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eicon Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184825267
- **Authorized official:** MR. MARK C EICH (OWNER)
- **Authorized official phone:** (480) 921-2434

## Contact information

- **Practice address:** 2210 S MILL AVE, SUITE 2, TEMPE, AZ 85282-2153
- **Practice address phone:** (480) 921-2434
- **Practice address fax:** (480) 921-2624
- **Mailing address:** 2210 S MILL AVE, SUITE 2, TEMPE, AZ 85282-2153
- **Mailing address phone:** (480) 921-2434
- **Mailing address fax:** (480) 921-2624

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 05/29/2007
- **Last updated:** 10/21/2016