Organization
CHOLLA HILLS FAMILY DENTISTRY LLC
Active
Other names
Cholla Hills Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
GIRIJA NADARAJAN (MANAGING MEMBER OWNER)
(623) 979-6363
Entity
Organization
Contact information
Practice address
7425 W PEORIA AVE, SUITE 102, PEORIA, AZ 85345-5876
(623) 979-6363
(623) 334-2301
Mailing address
7425 W PEORIA AVE, SUITE 102, PEORIA, AZ 85345-5876
(623) 979-6363
(623) 334-2301
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1888390
UCCI
AZ
01
—
274044
DBA
AZ
01
—
76287
DHA
AZ
Enumeration date
05/03/2007
Last updated
08/22/2020
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