Organization
WESTWIND DENTAL PHOENIX
Active
Other names
Moon Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA FRANCIS (REGIONAL MANAGER)
(602) 269-7797
Entity
Organization
Contact information
Practice address
3019 N 35TH AVE, PHOENIX, AZ 85017-5206
(602) 269-7797
Mailing address
3019 N 35TH AVE, PHOENIX, AZ 85017-5206
(602) 269-7797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6543
AZ
122300000X
Dentist
D7047
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
074462
—
AZ
Enumeration date
04/07/2015
Last updated
04/07/2015
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