# PV DENTAL ASSOCIATES LLC

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

## Provider details

- **NPI number:** 1366167439
- **Authorized official:** JENNY GARCIA-ROCHA (LEAD OF CREDENTIALING)
- **Authorized official phone:** (972) 869-3789

## Contact information

- **Practice address:** 10555 N TATUM BLVD STE A104, PARADISE VALLEY, AZ 85253-1096
- **Practice address phone:** (480) 998-7775
- **Practice address fax:** (480) 948-4098
- **Mailing address:** 10555 N TATUM BLVD STE A104, PARADISE VALLEY, AZ 85253-1096
- **Mailing address phone:** (480) 998-7775
- **Mailing address fax:** (480) 948-4098

## Taxonomy

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

## Other

- **Enumeration date:** 10/11/2022
- **Last updated:** 10/11/2022