Organization
NEW CONCEPT DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA M CORRAL (OWNER)
(623) 925-1399
Entity
Organization
Contact information
Practice address
725 N CENTRAL AVE STE 109, AVONDALE, AZ 85323-1659
(623) 925-1399
(623) 882-8083
Mailing address
725 N CENTRAL AVE STE 109, AVONDALE, AZ 85323-1659
(623) 925-1399
(623) 882-8083
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
90279
AZ
Other
Enumeration date
03/08/2010
Last updated
03/08/2010
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