# CACTUS DENTAL CARE LLC

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

## Provider details

- **NPI number:** 1578987699
- **Authorized official:** NANCY LIEPHARDT (OWNER/OFFICE MANAGER)
- **Authorized official phone:** (623) 979-4400

## Contact information

- **Practice address:** 7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
- **Practice address phone:** (623) 979-4400
- **Practice address fax:** (623) 979-4402
- **Mailing address:** 7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
- **Mailing address phone:** (623) 979-4400
- **Mailing address fax:** (623) 979-4402

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 2583 | AZ | Yes |

## Other

- **Enumeration date:** 02/10/2014
- **Last updated:** 02/10/2014