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Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Other names
Amber Hills Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JASMINE REARDON (CREDENTIALING COORDINATOR)
(217) 540-8330
Entity
Organization
Contact information
Practice address
2805 W CAREFREE HIGHWAY, SUITE 101, PHOENIX, AZ 85086-8847
(623) 492-0300
(623) 492-0312
Mailing address
2805 W CAREFREE HIGHWAY, SUITE 101, PHOENIX, AZ 85086-8847
(623) 492-0300
(623) 492-0312
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5975
AZ
Other
Enumeration date
05/24/2007
Last updated
12/08/2015
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