Thunderbird Dental Trust

NPI #1770628273 in Glendale, Arizona

Provider Information

NPI Number
1770628273
Entity Type
Organization
Organization Name
Thunderbird Dental Trust
Primary Specialty
Dentist - General Practice
Enumeration Date
Feb 21, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
13980 N 67TH AVE STE 2
State
Arizona
ZIP Code
85306-3715
Phone
(623) 979-9454

Authorized Official

Name
GREGORY M BECKER, DDS
Title
TRUSTEE
Phone
(623) 979-9454

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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