Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care at Marley Square
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
13983 W WADDELL RD STE 104, SURPRISE, AZ 85379-8735
(623) 232-3215
Mailing address
13983 W WADDELL RD STE 104, SURPRISE, AZ 85379-8735
(623) 232-3215
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/31/2022
Last updated
05/31/2022
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