# ADVANCED DENTAL HEALTH P.C.

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

## Provider details

- **NPI number:** 1285844522
- **Authorized official:** SHELLY JEAN HASCH (PRESIDENT)
- **Authorized official phone:** (480) 783-7192

## Contact information

- **Practice address:** 4350 E RAY ROAD, SUITE 105, PHOENIX, AZ 85044
- **Practice address phone:** (480) 783-7192
- **Practice address fax:** (480) 783-7193
- **Mailing address:** 4350 E RAY ROAD, SUITE 105, PHOENIX, AZ 85044
- **Mailing address phone:** (480) 783-7192
- **Mailing address fax:** (480) 783-7193

## Taxonomy

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

## Other

- **Enumeration date:** 05/23/2007
- **Last updated:** 08/05/2020