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Organization
THOMAS FAMILY DENTAL
Active
Organization
THOMAS FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER SPILOTRO D.D.S. (PRESIDENT)
(623) 680-9911
Entity
Organization
Contact information
Practice address
7333 W THOMAS RD, SUITE 72, PHOENIX, AZ 85033-5546
(623) 245-1000
(623) 245-1010
Mailing address
7333 W THOMAS RD, SUITE 72, PHOENIX, AZ 85033-5546
(623) 245-1000
(623) 245-1010
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D4664
AZ
1223G0001X
General Practice Dentistry
Primary
D5123
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
633679
—
AZ
05
—
639651
—
AZ
Enumeration date
05/24/2016
Last updated
05/24/2016
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