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Organization
BLACK MOUNTAIN ENDODONTICS
Active
Organization
BLACK MOUNTAIN ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY HESLINGTON DMD (OWNER/ENDODONTIST)
(801) 318-5264
Entity
Organization
Contact information
Practice address
21755 N 77TH AVE STE 1210, PEORIA, AZ 85382-2112
(623) 248-0899
(623) 248-9951
Mailing address
21755 N 77TH AVE STE 1210, PEORIA, AZ 85382-2112
(623) 248-0899
(623) 248-9951
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
NULL
1223E0200X
Endodontics
Primary
—
—
Other
Enumeration date
12/27/2021
Last updated
09/27/2022
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