Organization
ARIZONA DENTAL PROFESSIONALS, PC
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, PC
Other names
San Tan Mountain Dental
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, PC
Authorized official
KENDRA WALKER (CREDENTIALING SUPERVISOR)
(217) 540-8312
Entity
Organization
Contact information
Practice address
545 E HUNT HWY, SAN TAN VALLEY, AZ 85143
(480) 476-9180
(480) 476-9186
Mailing address
545 E HUNT HWY, SAN TAN VALLEY, AZ 85143
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/08/2016
Last updated
04/27/2017
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