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Organization
HDP AFFINITY DENTAL LLC
Active
Organization
HDP AFFINITY DENTAL LLC
Active
Other names
Affinity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD STE 130, QUEEN CREEK, AZ 85142-5995
(480) 882-2300
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
11/01/2019
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