Organization
ARROWHEAD PLAZA DENTAL GROUP PLC
Active
Parent organization
ARROWHEAD PLAZA DENTAL GROUP PLC
Other names
Legacy Dental Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARROWHEAD PLAZA DENTAL GROUP PLC
Authorized official
DR. LOUIS CORE D.D.S. (MANAGER)
(602) 993-4200
Entity
Organization
Contact information
Practice address
18205 N 51ST AVE, SUITE 101, GLENDALE, AZ 85308-1490
(602) 993-4200
Mailing address
18205 N 51ST AVE, SUITE 103, GLENDALE, AZ 85308-1490
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2007
Last updated
11/14/2012
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