# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Crossroads Family Dental
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1316101728
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** CARMEN WOODS (INS COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 3750 HIGHWAY 95, SUITE 106, BULLHEAD CITY, AZ 86442-8218
- **Practice address phone:** (928) 704-2580
- **Practice address fax:** (928) 704-2583
- **Mailing address:** 3750 HIGHWAY 95, SUITE 106, BULLHEAD CITY, AZ 86442-8218
- **Mailing address phone:** (928) 704-2580
- **Mailing address fax:** (928) 704-2583

## Taxonomy

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

## Other

- **Enumeration date:** 07/15/2008
- **Last updated:** 02/04/2014