Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Village - Sierra Vista
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
KIM WILSON (CRED SUPERVISOR)
(217) 540-5170
Entity
Organization
Contact information
Practice address
400 N HWY 90 BYP STE C2, SIERRA VISTA, AZ 85635-2293
(520) 459-2200
Mailing address
400 N HWY 90 BYP STE C2, SIERRA VISTA, AZ 85635-2293
(520) 459-2200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/30/2014
Last updated
04/12/2021
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