Arizona Dental Professionals, P.c.

NPI #1326781964 in Goodyear, Arizona

Provider Information

NPI Number: 1326781964
Entity Type: Organization
Organization Name: Arizona Dental Professionals, P.c.
Subpart: Yes (part of a larger organization)
Parent Organization: ARIZONA DENTAL PROFESSIONALS, P.C.
Primary Specialty: Dentist - General Practice
Enumeration Date: Apr 20, 2022
Last Updated: Apr 20, 2022

Practice Location

Address: 17710 W ELLIOT RD
City: Goodyear
State: Arizona
ZIP Code: 85338-9000
Phone: (623) 267-1267

Authorized Official

Name: CELIA HAYES
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-2100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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