# OCOTILLO LAKES DENTAL HEALTH

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

## Provider details

- **NPI number:** 1407340854
- **Authorized official:** BARBARA LEE FARNSWORTH (BUSINESS MANAGER)
- **Authorized official phone:** (480) 283-5854

## Contact information

- **Practice address:** 3200 S ALMA SCHOOL RD STE 103, CHANDLER, AZ 85248-3755
- **Practice address phone:** (480) 283-5854
- **Practice address fax:** (480) 807-3649
- **Mailing address:** 2947 N POWER RD STE 103, MESA, AZ 85215-1750
- **Mailing address phone:** (480) 283-5854
- **Mailing address fax:** (480) 807-3649

## Taxonomy

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

## Other

- **Enumeration date:** 06/19/2018
- **Last updated:** 06/19/2018