Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Roosevelt Commons Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CEMYIRA MCDOUGAL (CREDENTIALING COORDINATOR)
(217) 764-8609
Entity
Organization
Contact information
Practice address
860 N VERRADO WAY STE 102, BUCKEYE, AZ 85326-7777
(480) 805-5840
Mailing address
860 N VERRADO WAY STE 102, BUCKEYE, AZ 85326-7777
(480) 805-5840
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
08/11/2025
Last updated
08/11/2025
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