Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Desert Family Dentistry
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
50 S KYRENE RD, SUITE 5, CHANDLER, AZ 85226-4683
(480) 940-5422
(480) 942-5515
Mailing address
50 S KYRENE RD, SUITE 5, CHANDLER, AZ 85226-4683
(480) 940-5422
(480) 942-5515
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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