# LIANJIE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cholla Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396266417
- **Authorized official:** MONICA DEWITT (OFFICE ADMINISTRATOR)
- **Authorized official phone:** (602) 914-4274

## Contact information

- **Practice address:** 9188 E SAN SALVADOR DR STE 105, SCOTTSDALE, AZ 85258-5534
- **Practice address phone:** (602) 225-0595
- **Mailing address:** PO BOX 61025, PHOENIX, AZ 85082-1025

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/28/2017
- **Last updated:** 05/22/2023