Organization
AZCDC,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOAN L FOX (DENTIS)
(480) 226-5652
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE, GLENDALE, AZ 85302
(480) 226-5652
Mailing address
POBOX 5132, PEORIA, AZ 85385
(480) 226-5652
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D4274
AZ
261QD0000X
Dental Clinic/Center
DD4407
NM
Other
Enumeration date
08/01/2016
Last updated
10/20/2016
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