# PREMIER FAMILY DENTAL HOLDINGS LLC

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

## Provider details

- **NPI number:** 1285172551
- **Authorized official:** MS. BECKY ONDA (DIRECTOR OF CREDENTIALING)
- **Authorized official phone:** (480) 889-9457

## Contact information

- **Practice address:** 3050 E CHANDLER HEIGHTS RD, STE 105, GILBERT, AZ 85290
- **Practice address phone:** (480) 279-5611
- **Practice address fax:** (480) 279-5610
- **Mailing address:** 3050 E CHANDLER HEIGHTS RD, STE 105, GILBERT, AZ 85290
- **Mailing address phone:** (480) 279-5611
- **Mailing address fax:** (480) 279-5610

## Taxonomy

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

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017