Organization
HDP FOX DENTAL LLC
Active
Other names
Fox Family Dental
Organization subpart
No
Provider details
NPI number
Authorized official
VICENTA REYES (CREDENTIALING SENIOR TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
9000 W THUNDERBIRD RD STE 200, PEORIA, AZ 85381-4435
(623) 523-0290
Mailing address
PO BOX 734753, DALLAS, TX 75373-4753
(623) 523-0290
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/25/2019
Last updated
05/08/2023
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