Organization
DENTAL HOME CONCEPTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHELE M BANKS RDH (MANAGER)
(480) 421-8928
Entity
Organization
Contact information
Practice address
338 N 15TH AVE, PHOENIX, AZ 85007-2402
(480) 421-8928
Mailing address
36506 N 33RD AVE, PHOENIX, AZ 85086-0515
(480) 421-8928
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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