# ARIZONA DENTAL PROFESSIONALS, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Other names:** Parkwood Ranch Dental Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1578116679
- **Legal business name:** ARIZONA DENTAL PROFESSIONALS, P.C.
- **Authorized official:** JESSICA BRITT (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-5100

## Contact information

- **Practice address:** 10749 E SOUTHERN AVE, MESA, AZ 85209-3885
- **Practice address phone:** (480) 325-8986
- **Practice address fax:** (480) 474-4608
- **Mailing address:** 10749 E SOUTHERN AVE, MESA, AZ 85209-3885

## Taxonomy

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

## Other

- **Enumeration date:** 07/18/2019
- **Last updated:** 09/06/2019