Organization
CNCSMILES
Active
Other names
Crowley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHARON STOLTZ (OFFICE MANAGER)
(623) 486-9333
Entity
Organization
Contact information
Practice address
18001 N 79TH AVE STE B16, GLENDALE, AZ 85308-8390
(623) 486-9333
(623) 486-9337
Mailing address
18001 N 79TH AVE STE B16, GLENDALE, AZ 85308-8390
(623) 486-9333
(623) 486-9337
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4440
AZ
1223G0001X
General Practice Dentistry
7307
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1124025622
DENTAL NPI
AZ
01
—
1295932192
DENTAL NPI 2ND DR.
AZ
Enumeration date
04/15/2009
Last updated
04/15/2009
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