Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care at Tumbleweed Pass
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
20311 S ELLSWORTH RD STE 101, QUEEN CREEK, AZ 85142
(602) 626-3935
Mailing address
20311 S ELLSWORTH RD STE 101, QUEEN CREEK, AZ 85142
(602) 626-3935
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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