# CALAWAY DENTAL

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

## Provider details

- **NPI number:** 1669260519
- **Authorized official:** AUSTIN CALAWAY (OWNER)
- **Authorized official phone:** (509) 942-9219

## Contact information

- **Practice address:** 2111 E HIGHLAND AVE \# B105, PHOENIX, AZ 85016-4741
- **Practice address phone:** (602) 955-7788
- **Mailing address:** 2124 E PARK VIEW LN, PHOENIX, AZ 85024-5302
- **Mailing address phone:** (509) 942-9219

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 04/30/2025
- **Last updated:** 04/30/2025