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Organization

CRESCENT VIEW FAMILY DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LARAINE GREY (OWNER/MANAGER)
(602) 248-0434
Entity
Organization

Contact information

Practice address
4015 N 15TH AVE, PHOENIX, AZ 85015-5209
(602) 248-0434
(602) 248-2814
Mailing address
4015 N 15TH AVE, PHOENIX, AZ 85015-5209
(602) 248-0434
(602) 248-2814

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary

Other

Enumeration date
03/18/2010
Last updated
03/18/2010
About Stedi
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  • EDI platform