Organization
LIANJIE, LLC
Active
Other names
Cholla Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA DEWITT (OFFICE ADMINISTRATOR)
(602) 914-4274
Entity
Organization
Contact information
Practice address
9188 E SAN SALVADOR DR STE 105, SCOTTSDALE, AZ 85258-5534
(602) 225-0595
Mailing address
PO BOX 61025, PHOENIX, AZ 85082-1025
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
06/28/2017
Last updated
05/22/2023
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