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Organization

ARIZONA DENTAL PROFESSIONALS, P.C.

Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Longbow Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization

Contact information

Practice address
3218 N RECKER RD, MESA, AZ 85215
(480) 568-7110
Mailing address
3218 N RECKER RD, MESA, AZ 85215-9653
(480) 568-7110
(480) 534-5170

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/16/2018
Last updated
12/17/2018
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