Organization
SOUTH MOUNTAIN DENTAL CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS L HOFFMAN (MEMBER)
(602) 268-7076
Entity
Organization
Contact information
Practice address
7617 S CENTRAL AVE, PHOENIX, AZ 85042-6513
(602) 268-7076
(602) 268-0425
Mailing address
7617 S CENTRAL AVE, PHOENIX, AZ 85042-6513
(602) 268-7076
(602) 268-0425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6357
AZ
Other
Enumeration date
05/09/2007
Last updated
08/22/2020
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