Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care on Lone Mountain
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
HILLARY THULL (CREDENTIALING COORDINATOR)
(217) 540-8946
Entity
Organization
Contact information
Practice address
11749 W LONE MOUNTAIN PKWY UNIT 100, PEORIA, AZ 85383-6801
(623) 323-2320
(623) 323-2326
Mailing address
11749 W LONE MOUNTAIN PKWY UNIT 100, PEORIA, AZ 85383-6801
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/24/2025
Last updated
04/24/2025
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