Thunderbird Dental Management LLC

NPI #1275084501 in Peoria, Arizona

Provider Information

NPI Number
1275084501
Entity Type
Organization
Organization Name
Thunderbird Dental Management LLC
Primary Specialty
Dentist - General Practice
Enumeration Date
Oct 21, 2016
Last Updated
Oct 21, 2016

Practice Location

Address
9145 W THUNDERBIRD RD
Address 2
SUITE H-105
City
Peoria
State
Arizona
ZIP Code
85381-4820
Phone
(623) 979-7477

Authorized Official

Name
MR. TIM WILDUNG
Title
OWNER
Phone
(480) 634-4803

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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