Organization
CACTUS CANYON DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. THERESA MARIE COLLINS DMD (DENTIST/OWNER)
(503) 267-7559
Entity
Organization
Contact information
Practice address
2043 E SOUTHERN AVE, STE. C, TEMPE, AZ 85282
(480) 730-0553
(480) 839-3319
Mailing address
2043 E SOUTHERN AVE, STE. C, TEMPE, AZ 85282
(480) 730-0553
(480) 839-3319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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