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Organization
HDP NORTH SCOTTSDALE DENTAL LLC
Active
Organization
HDP NORTH SCOTTSDALE DENTAL LLC
Active
Other names
North Scottsdale Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
21809 N SCOTTSDALE RD STE C105, SCOTTSDALE, AZ 85255-7440
(480) 563-0000
Mailing address
21809 N SCOTTSDALE RD STE C105, SCOTTSDALE, AZ 85255-7440
(480) 563-0000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/27/2019
Last updated
12/27/2019
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