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Organization

WESTWIND DENTAL THUNDERBIRD

Active
Parent organization
WESTWIND DENTAL PHOENIX
Other names
Kona Dental
Organization subpart
Yes

Provider details

NPI number
Legal business name
WESTWIND DENTAL PHOENIX
Authorized official
MELISSA FRANCIS (REGIONAL MANAGER)
(602) 269-7797
Entity
Organization

Contact information

Practice address
5141 W THUNDERBIRD RD, GLENDALE, AZ 85306-4836
(602) 863-1913
Mailing address
3019 N 35TH AVE, PHOENIX, AZ 85017-5206

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6543
AZ
122300000X
Dentist
D7047
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
074462
AZ
Enumeration date
04/16/2015
Last updated
04/16/2015
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