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Organization
NORTH PHOENIX PEDIATRIC DENTISTRY, LLC
Active
Organization
NORTH PHOENIX PEDIATRIC DENTISTRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM JOSEPH HEIMANN DDS (PRESIDENT/PEDIATRIC DENTIST)
(602) 864-1080
Entity
Organization
Contact information
Practice address
1526 W GLENDALE AVE STE 103, PHOENIX, AZ 85021-8576
(602) 864-1080
(602) 864-7036
Mailing address
1526 W GLENDALE AVE STE 103, PHOENIX, AZ 85021-8576
(602) 864-1080
(602) 864-7036
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2542
AZ
Other
Enumeration date
03/27/2018
Last updated
03/27/2018
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