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Organization
ARROWHEAD DENTAL GROUP AND ORTHODONTICS, LLP
Active
Organization
ARROWHEAD DENTAL GROUP AND ORTHODONTICS, LLP
Active
Other names
Arrowhead Dental Group and Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES B MALLORY JR (CONTRACTS ADMINISTRATOR)
(623) 878-5400
Entity
Organization
Contact information
Practice address
8085 W BELL RD, SUITE 103, PEORIA, AZ 85382-3825
(623) 878-5400
(623) 878-6467
Mailing address
2860 MICHELLE, 2ND FLOOR, IRVINE, CA 92606-1009
(714) 368-2077
(714) 368-2092
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/01/2009
Last updated
10/27/2010
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