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Organization
ARTISAN FAMILY DENTISTRY LLC
Active
Organization
ARTISAN FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY PATRICK CARSON DMD (OWNER/MANAGER)
(602) 588-7777
Entity
Organization
Contact information
Practice address
18555 N 59TH AVE, SUITE 127, GLENDALE, AZ 85308-1255
(602) 588-7777
Mailing address
18555 N 59TH AVE, SUITE 127, GLENDALE, AZ 85308-1255
(602) 588-7777
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
5467
AZ
Other
Enumeration date
10/24/2007
Last updated
08/22/2019
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