Organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Fountain Hills Family Dentistry
Organization subpart
Yes
Provider details
NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JULI RENEE MIETZNER (MANAGER)
(217) 540-5651
Entity
Organization
Contact information
Practice address
16425 E PALISADES BLVD STE 106, FOUNTAIN HILLS, AZ 85268-3754
(480) 837-5227
Mailing address
16425 E PALISADES BLVD STE 106, FOUNTAIN HILLS, AZ 85268-3754
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/23/2021
Last updated
12/18/2024
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