Organization
DESERT MISSION INC
Active
Other names
Children's Dental Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CINDY HALLMAN (VICE PRESIDENT)
(602) 870-6060
Entity
Organization
Contact information
Practice address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(602) 870-6060
(602) 331-5819
Mailing address
9201 N 5TH ST, PHOENIX, AZ 85020-2532
(602) 870-6060
(602) 331-5819
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
F0049
AZ
Other
Enumeration date
06/27/2008
Last updated
11/09/2009
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