Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Gavilan Peak Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
BELINDA HUERTA (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
2355 W ANTHEM WAY, ANTHEM, AZ 85086-4959
(623) 303-4110
(623) 303-4112
Mailing address
2355 W ANTHEM WAY, ANTHEM, AZ 85086-4959
(623) 303-4110
(623) 303-4112
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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