Organization
ARIZONA DENTAL PROFESSIONALS, PC
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, PC
Other names
Fountain Hills Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, PC
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
16605 E PALISADES BLVD, SUITE 112, FOUNTAIN HILLS, AZ 85268-3716
(480) 837-2000
(480) 837-2078
Mailing address
16605 E PALISADES BLVD, SUITE 112, FOUNTAIN HILLS, AZ 85268-3716
(480) 837-2000
(480) 837-2078
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6416
AZ
Other
Enumeration date
08/08/2007
Last updated
11/18/2016
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