Organization
VALE DENTAL PROFESSIONALS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN LUNDGREEN (MEMBER)
(480) 295-9234
Entity
Organization
Contact information
Practice address
3231 S COUNTRY CLUB WAY STE 109, TEMPE, AZ 85282-4053
(480) 831-6333
Mailing address
7205 E SOUTHERN AVE STE A-122, MESA, AZ 85209-2790
(480) 295-9234
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
02/24/2021
Last updated
02/24/2021
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