Organization
NORTH BEELINE DENTAL LLC
Active
Other names
Anderson Dental Group
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (CREDENTIALING DIRECTOR)
(972) 869-3789
Entity
Organization
Contact information
Practice address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
(928) 474-4581
Mailing address
712 N BEELINE HWY, PAYSON, AZ 85541-3706
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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