Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Glendale Aesthetic Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
COURTNEY MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
5700 W OLIVE AVE STE 105, GLENDALE, AZ 85302-3147
(623) 334-8300
Mailing address
5700 W OLIVE AVE STE 105, GLENDALE, AZ 85302-3147
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
11/01/2022
Last updated
11/01/2022
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