Organization
HEALTHY TEETH FAMILY DENTISTRY
Active
Parent organization
PEORIA CAMELBACKLLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
PEORIA CAMELBACKLLC
Authorized official
DR. HARJOT KAUR BRAR DDS (OWNER)
(623) 878-0117
Entity
Organization
Contact information
Practice address
10630 N 59TH AVE, SUITE#101, GLENDALE, AZ 85304-1239
(623) 878-0117
(623) 878-6396
Mailing address
10630 N 59TH AVE, SUITE#101, GLENDALE, AZ 85304-1239
(623) 878-0117
(623) 878-6396
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D6397
AZ
Other
Enumeration date
09/20/2011
Last updated
09/20/2011
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