# SOUTHWEST DENTAL

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

## Provider details

- **NPI number:** 1326232943
- **Authorized official:** MS. MELISSA JEANBLANC (MANAGEMENT)
- **Authorized official phone:** (480) 756-6522

## Contact information

- **Practice address:** 485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
- **Practice address phone:** (480) 821-9022
- **Mailing address:** 485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
- **Mailing address phone:** (480) 821-9022

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7364 | AZ | Yes |

## Other

- **Enumeration date:** 08/28/2007
- **Last updated:** 08/28/2007