Organization
HDP NORTH VALLEY DENTAL LLC
Active
Other names
North Valley Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
42104 N VENTURE DR STE 103, ANTHEM, AZ 85086-3823
(623) 551-9200
Mailing address
42104 N VENTURE DR STE 103, ANTHEM, AZ 85086-3823
(623) 551-9200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/07/2020
Last updated
02/07/2020
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