Organization
THIELEN DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE HAMILTON (DIRECTOR, PAYOR STRATEGY)
(315) 410-5531
Entity
Organization
Contact information
Practice address
5911 W BASELINE RD STE B-100, LAVEEN, AZ 85339-2810
(602) 281-1172
Mailing address
PO BOX 70887, CLEVELAND, OH 44190-0887
(315) 410-5531
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/17/2024
Last updated
07/17/2024
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