# PRIMERO DENTAL SERVICES PLLC

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

## Provider details

- **NPI number:** 1558509869
- **Authorized official:** DR. THANH V DU DDS (MEMBER)
- **Authorized official phone:** (623) 849-1356

## Contact information

- **Practice address:** 6749 W BETHANY HOME RD, SUITE 102, GLENDALE, AZ 85303-4444
- **Practice address phone:** (623) 849-1356
- **Practice address fax:** (623) 849-1724
- **Mailing address:** 4017 N 75TH AVE, PHOENIX, AZ 85033-3728
- **Mailing address phone:** (623) 873-2500
- **Mailing address fax:** (623) 849-1356

## Taxonomy

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

## Other

- **Enumeration date:** 01/23/2009
- **Last updated:** 01/23/2009