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Organization

HEARTLAND DENTAL CARE OF ARIZONA, PC

Active
Parent organization
ARIZONA DENTAL PROFESSIONALS, P.C.
Other names
Lakeside Dental Care
Organization subpart
Yes

Provider details

NPI number
Legal business name
ARIZONA DENTAL PROFESSIONALS, P.C.
Authorized official
JESSICA BRITT (CREDENTIALING COORDINATOR)
(217) 540-5100
Entity
Organization

Contact information

Practice address
4920 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5547
(602) 612-9711
Mailing address
4920 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85248-5547
(807) 396-4044
(480) 590-6481

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Enumeration date
06/10/2019
Last updated
08/22/2019
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