Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Sundome Crossing Dental Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization
Contact information
Practice address
19221 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4487
(623) 473-7706
(623) 248-9224
Mailing address
19221 N R H JOHNSON BLVD, SUN CITY WEST, AZ 85375-4487
(480) 667-5830
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
12/30/2019
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