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Organization
HDP NORTH VALLEY DENTAL LLC
Active
Organization
HDP NORTH VALLEY DENTAL LLC
Active
Other names
North Valley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
42104 N VENTURE DR STE 103, ANTHEM, AZ 85086-3823
(623) 551-9200
Mailing address
42104 N VENTURE DR STE 103, ANTHEM, AZ 85086-3823
(623) 551-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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