Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care on Watson
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
1177 S WATSON RD STE 107, BUCKEYE, AZ 85326-3465
(623) 244-0636
(623) 235-6308
Mailing address
1177 S WATSON RD STE 107, BUCKEYE, AZ 85326-3465
(623) 244-0636
(623) 235-6308
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/05/2020
Last updated
02/25/2021
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