# FAMILYTREE DENTAL & ORTHODONTICS PLLC

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

## Provider details

- **NPI number:** 1962719005
- **Authorized official:** DR. HOLLY ANN LERMA DDS (DENTIST/OWNER)
- **Authorized official phone:** (816) 805-1599

## Contact information

- **Practice address:** 201 W GUADALUPE RD, STE 102, GILBERT, AZ 85233-3332
- **Practice address phone:** (816) 805-1599
- **Mailing address:** 201 W GUADALUPE RD, STE 102, GILBERT, AZ 85233-3332
- **Mailing address phone:** (816) 805-1599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 7275 | AZ | Yes |

## Other

- **Enumeration date:** 09/10/2010
- **Last updated:** 09/10/2010