Organization
CHINO VALLEY PDC PLLC
Active
Other names
Horizon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSEN (CREDENTIALING SPECIALIST)
(801) 305-3460
Entity
Organization
Contact information
Practice address
432 BUTTERFIELD RD, CHINO VALLEY, AZ 86323-5613
(928) 636-1565
Mailing address
355 S 520 W STE 250, LINDON, UT 84042-1976
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/21/2024
Last updated
09/18/2024
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