# ASSOCIATED FAMILY DENTISTRY LTD

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

## Provider details

- **NPI number:** 1851424287
- **Authorized official:** MRS. LETISHA J. HAWTHORNE (OFFICE MANGER)
- **Authorized official phone:** (623) 931-9221

## Contact information

- **Practice address:** 9160 N 43RD AVE, GLENDALE, AZ 85302-3801
- **Practice address phone:** (623) 931-9221
- **Practice address fax:** (632) 937-4315
- **Mailing address:** 9160 N 43RD AVE, GLENDALE, AZ 85302-3801
- **Mailing address phone:** (623) 931-9221
- **Mailing address fax:** (632) 937-4315

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 1926 | AZ | Yes |
| 1223G0001X | General Practice Dentistry | 4315 | AZ | — |

## Other

- **Enumeration date:** 03/14/2007
- **Last updated:** 08/22/2020