Organization
A T STILL UNIVERSITY OF HEALTH SCIENCES
Active
Other names
ARIZONA SCHOOL OF DENTISTRY & ORAL HEALTH
Organization subpart
No
Provider details
NPI number
Authorized official
COLLEEN REIDHEAD (DIRECTOR)
(480) 219-6183
Entity
Organization
Contact information
Practice address
20325 N 51ST AVE, UNIT 156, GLENDALE, AZ 85308-5674
(623) 251-4700
Mailing address
5850 E STILL CIR, MESA, AZ 85206-3618
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D05156
AZ
Other
Enumeration date
07/02/2013
Last updated
10/17/2013
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