Organization
VENTANA FAMILY DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRAIG THOMPSON (OWNER/DENTIST)
(623) 566-1200
Entity
Organization
Contact information
Practice address
20403 N LAKE PLEASANT RD, SUITE 121, PEORIA, AZ 85382-9702
(623) 566-1200
(623) 566-0114
Mailing address
20403 N LAKE PLEASANT RD, SUITE 121, PEORIA, AZ 85382-9702
(623) 566-1200
(623) 566-0114
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4654
AZ
Other
Enumeration date
12/22/2015
Last updated
02/17/2016
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