Organization
CACTUS DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY LIEPHARDT (OWNER/OFFICE MANAGER)
(623) 979-4400
Entity
Organization
Contact information
Practice address
7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
(623) 979-4400
(623) 979-4402
Mailing address
7440 W CACTUS RD STE A18, PEORIA, AZ 85381-9534
(623) 979-4400
(623) 979-4402
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
2583
AZ
Other
Enumeration date
02/10/2014
Last updated
02/10/2014
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