Chino Valley Pdc Pllc
NPI #1659110583 in Chino Valley, Arizona
Provider Information
- NPI Number
- 1659110583
- Entity Type
- Organization
- Organization Name
- Chino Valley Pdc Pllc
- Primary Specialty
- Dentist - General Practice
- Enumeration Date
- May 21, 2024
- Last Updated
- Sep 18, 2024
Practice Location
- Address
- 432 BUTTERFIELD RD
- City
- Chino Valley
- State
- Arizona
- ZIP Code
- 86323-5613
- Phone
- (928) 636-1565
Authorized Official
- Name
- MARK CHRISTENSEN
- Title
- CREDENTIALING SPECIALIST
- Phone
- (801) 305-3460
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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