# AVONDALE HILLS DENTAL

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

## Provider details

- **NPI number:** 1912963125
- **Authorized official:** JASON PAUL ACUFF DDS (OWNER)
- **Authorized official phone:** (623) 478-0149

## Contact information

- **Practice address:** 11335 W BUCKEYE RD, 101C, AVONDALE, AZ 85323
- **Practice address phone:** (623) 478-0149
- **Practice address fax:** (623) 907-5259
- **Mailing address:** 11335 W BUCKEYE RD, 101C, AVONDALE, AZ 85323
- **Mailing address phone:** (623) 478-0149
- **Mailing address fax:** (623) 907-5259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4814 | AZ | Yes |

## Other

- **Enumeration date:** 04/25/2006
- **Last updated:** 08/22/2020