Organization
ARROWHEAD DENTAL GROUP, LLC
Active
Other names
75th Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MISS FAWNE E PRYOR MGR (INSURANCE MANAGER)
(623) 582-3902
Entity
Organization
Contact information
Practice address
7545 W BELL RD, #105, PEORIA, AZ 85382-3832
(623) 412-2461
(623) 979-7364
Mailing address
7545 W BELL RD, #105, PEORIA, AZ 85382-3832
(623) 412-2461
(623) 979-7364
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6772
AZ
Other
Enumeration date
12/22/2008
Last updated
12/22/2008
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