Organization
GREENFIELD LAKES FAMILY DENTISTRY
Active
Other names
Pinnacle Peak Family and Cosmetic Dentist
Organization subpart
No
Provider details
NPI number
Authorized official
COLIA MCKINLEY DDS,ETC (DIRECTOR OF INSURANCE)
(480) 558-1037
Entity
Organization
Contact information
Practice address
7502 E PINNACLE PEAK RD STE B119, SCOTTSDALE, AZ 85255-6169
(480) 538-0777
(480) 538-8666
Mailing address
7502 EAST PINNACLE PEAK ROAD #B119, SCOTTSDALE, AZ 85255
(480) 538-0777
(480) 538-8666
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122300000X
SINGLE SPECIALTY GROUP
AZ
Enumeration date
12/14/2009
Last updated
12/14/2009
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