Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Cotton Ridge Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
37591 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7376
(480) 999-3480
(480) 687-7577
Mailing address
37591 N GANTZEL RD, SAN TAN VALLEY, AZ 85140-7376
(480) 999-3480
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
01/15/2021
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