Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
83rd Marketplace Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CELIA HAYES (CREDENTIALING COORDINATOR)
(217) 540-2100
Entity
Organization
Contact information
Practice address
24971 N 83RD AVE, PEORIA, AZ 85383-4383
(623) 250-4440
Mailing address
24971 N 83RD AVE, PEORIA, AZ 85383-4383
(623) 250-4440
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/25/2021
Last updated
05/25/2021
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