# AZ FAMILY DENTAL PLLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** 59th Avenue Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962763003
- **Authorized official:** DR. MATTHEW REED PARKER D.M.D. (OWNER)
- **Authorized official phone:** (801) 602-3985

## Contact information

- **Practice address:** 8519 N 59TH AVE, GLENDALE, AZ 85302-5401
- **Practice address phone:** (801) 602-3985
- **Mailing address:** 8519 N 59TH AVE, GLENDALE, AZ 85302-5401
- **Mailing address phone:** (801) 602-3985

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008419 | AZ | Yes |

## Other

- **Enumeration date:** 06/05/2012
- **Last updated:** 06/05/2012