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Organization

ARIZONA DENTAL PROFESSIONALS, P.C.

Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Dental Care of Anthem Crossroads
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-8426
Entity
Organization

Contact information

Practice address
39504 N DAISY MOUNTAIN DR STE 106, ANTHEM, AZ 85086-6065
(623) 231-2232
Mailing address
39504 N DAISY MOUNTAIN DR STE 106, ANTHEM, AZ 85086-6065
(623) 231-3009
(623) 215-3512

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
08/16/2018
Last updated
11/09/2018
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