Organization
SOLTERRA DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERA GOOLSBY (ACCOUNTANT)
(623) 289-2616
Entity
Organization
Contact information
Practice address
15255 N 40TH ST STE 111, PHOENIX, AZ 85032-4636
(602) 788-0730
Mailing address
34225 N 27TH DR STE 241, PHOENIX, AZ 85085-6091
(623) 289-2580
(623) 289-2015
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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