Organization
HDP AFFINITY DENTAL LLC
Active
Other names
Affinity Dental
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
21321 E OCOTILLO RD STE 130, QUEEN CREEK, AZ 85142-5995
(480) 882-2300
Mailing address
2403 LACY LN, CARROLLTON, TX 75006-6514
(972) 869-3789
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
11/01/2019
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