Organization
ARIZONA DENTAL HEALTH PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL HEALTH PROFESSIONALS, P.C.
Other names
Southern Arizona Periodontics - Knight Drive
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL HEALTH PROFESSIONALS, P.C.
Authorized official
COURTNEY R MONTEITH (CREDENTIALING COORDINATOR)
(217) 540-8306
Entity
Organization
Contact information
Practice address
5225 E KNIGHT DR STE 401, TUCSON, AZ 85712-2156
(520) 809-7703
Mailing address
5225 E KNIGHT DR STE 401, TUCSON, AZ 85712-2156
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
07/19/2022
Last updated
09/30/2022
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