Organization
MOON VALLEY DENTAL LLC
Active
Other names
Moon Valley Dental Care
Organization subpart
No
Provider details
NPI number
Authorized official
MARK C EICH (DIRECTOR)
(480) 310-2582
Entity
Organization
Contact information
Practice address
13825 N 7TH ST STE C, PHOENIX, AZ 85022-4342
(602) 993-9912
Mailing address
8035 S 27TH WAY, PHOENIX, AZ 85042-7063
(480) 760-5528
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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