Organization
ARIZONA DEPARTMENT OF HEALTH SERVICES, OFFICE OF ORAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA A. PRICE BSDH, MED (SEALANT PROGRAM MANAGER)
(602) 542-1891
Entity
Organization
Contact information
Practice address
1740 W ADAMS ST, RM 205, PHOENIX, AZ 85007-2607
(602) 542-1866
(602) 542-2936
Mailing address
1740 W ADAMS ST, RM 205, PHOENIX, AZ 85007-2607
(602) 542-1866
(602) 542-2936
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
—
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703886
—
AZ
Enumeration date
02/26/2007
Last updated
08/22/2020
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