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Organization
CACTUS DENTAL, LLC
Active
Organization
CACTUS DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GARRETT HAWKINS (DENTIST/OWNER)
(602) 363-3322
Entity
Organization
Contact information
Practice address
7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
(623) 979-4400
(623) 979-4402
Mailing address
7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
(623) 979-4400
(623) 979-4402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/14/2019
Last updated
03/14/2019
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