Organization
DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA
Active
Parent organization
DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA
Other names
Prime Family Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
DYNAMIC DENTAL HEALTH ASSOCIATES OF ARIZONA
Authorized official
ROSA LESSO (NATIONAL DIRECTOR OF RCM)
(714) 571-3471
Entity
Organization
Contact information
Practice address
5030 W BASELINE RD STE 131, LAVEEN, AZ 85339-7331
(602) 237-8880
(602) 237-8419
Mailing address
136 4TH ST N STE 201, ST PETERSBURG, FL 33701-3889
(727) 800-8026
(727) 304-3164
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/02/2013
Last updated
04/04/2024
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