Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Smiles on Northern
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
4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
(623) 931-5321
(623) 931-5321
Mailing address
4491 W NORTHERN AVE, GLENDALE, AZ 85301-1649
(623) 931-5321
(623) 931-5321
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/14/2010
Last updated
02/04/2014
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