Arizona Dental Professionals, P.c.

NPI #1700593522 in Glendale, Arizona

Provider Information

NPI Number: 1700593522
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
Enumeration Date: Nov 1, 2022
Last Updated: Nov 1, 2022

Practice Location

Address: 5700 W OLIVE AVE STE 105
City: Glendale
State: Arizona
ZIP Code: 85302-3147
Phone: (623) 334-8300

Authorized Official

Name: COURTNEY MONTEITH
Title: CREDENTIALING COORDINATOR
Phone: (217) 540-8306

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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