Organization
ASSOCIATED DENTAL CARE PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA L CLEVELAND (SYSTEM COORDINATOR)
(520) 290-9702
Entity
Organization
Contact information
Practice address
4159 W THUNDERBIRD RD, PHOENIX, AZ 85053-5341
(602) 938-1312
(602) 863-6655
Mailing address
4159 W THUNDERBIRD RD, PHOENIX, AZ 85053-5341
(602) 938-1312
(602) 863-6655
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
08/22/2020
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