Organization
DANICK ENTERPRISES LLC
Active
Other names
Altier Dental
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE ALTIER (PRESIDENT)
(480) 331-4955
Entity
Organization
Contact information
Practice address
4365 E PECOS RD STE 127, GILBERT, AZ 85295-8052
(480) 331-4955
Mailing address
5329 S TATUM LN, GILBERT, AZ 85298-0356
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
F000626
AZ
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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