Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care at Madera Vista
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
140 W DUVAL MINE RD, GREEN VALLEY, AZ 85614-5002
(520) 393-0006
(520) 547-3039
Mailing address
140 W DUVAL MINE RD, GREEN VALLEY, AZ 85614-5002
(520) 393-0006
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
03/19/2019
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