Organization
CLOUD NINE DENTAL CARE, LLC
Active
Other names
Downtown Phoenix Dental
Organization subpart
No
Provider details
NPI number
Authorized official
ANNIE BALLARD (OFFICE ADMINISTRATOR)
(602) 518-0197
Entity
Organization
Contact information
Practice address
111 W MONROE ST STE 131, PHOENIX, AZ 85003-1717
(602) 626-7952
Mailing address
2659 N RIDGE CIR, MESA, AZ 85203-2174
(602) 518-0197
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/06/2020
Last updated
08/06/2020
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