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Organization

HORIZON DENTAL GROUP WEST VALLEY

Active
Other names
Gentle Touch Family Dental Care
Organization subpart
No

Provider details

NPI number
Authorized official
MARK COSTES DDS (OWNER/ DENTIST)
(928) 636-1565
Entity
Organization

Contact information

Practice address
4025 W. BELL ROAD, SUITE 20, PHOENIX, AZ 85053
(602) 978-0901
(928) 458-7090
Mailing address
4025 W. BELL ROAD, SUITE 20, PHOENIX, AZ 85053
(602) 978-0901
(928) 458-7090

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5634
AZ

Other

Enumeration date
02/21/2017
Last updated
02/21/2017
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