Organization
HOWARD DENTAL, LLC
Active
Other names
Freedom Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN G HOWARD DDS (MANAGER)
(907) 229-1325
Entity
Organization
Contact information
Practice address
6328 E BROWN RD STE 105, MESA, AZ 85205-4841
(480) 325-7639
(480) 654-8965
Mailing address
6328 E BROWN RD STE 105, MESA, AZ 85205-4841
(480) 325-7639
(480) 654-8965
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087592
—
AZ
Enumeration date
09/13/2022
Last updated
09/13/2022
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