Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Smiles on Southern
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
CARMEN WOODS (INSURANCE COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
(480) 807-8100
(480) 325-8014
Mailing address
5432 E SOUTHERN AVE STE 108, MESA, AZ 85206-2772
(480) 807-8100
(480) 325-8014
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/30/2010
Last updated
02/04/2014
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