Organization
AZ FAMILY DENTAL PLLC
Active
Other names
59th Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW REED PARKER D.M.D. (OWNER)
(801) 602-3985
Entity
Organization
Contact information
Practice address
8519 N 59TH AVE, GLENDALE, AZ 85302-5401
(801) 602-3985
Mailing address
8519 N 59TH AVE, GLENDALE, AZ 85302-5401
(801) 602-3985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008419
AZ
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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