Organization
EICON DENTAL, LLC
Active
Other names
Eicon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK C EICH (OWNER)
(480) 921-2434
Entity
Organization
Contact information
Practice address
2210 S MILL AVE, SUITE 2, TEMPE, AZ 85282-2153
(480) 921-2434
(480) 921-2624
Mailing address
2210 S MILL AVE, SUITE 2, TEMPE, AZ 85282-2153
(480) 921-2434
(480) 921-2624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
10/21/2016
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