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Healing Dentistry PLLC

Clinic/Center, Dental in Phoenix, AZ. Organization (NPI-2).

NPI number1063001022
StatusActive
Last updated in NPPESJan 14, 2021

Details

NPI
1063001022
Entity type
Organization (NPI-2)
Legal business name
Healing Dentistry PLLC
Organization subpart
No
Enumeration date
Jan 14, 2021
Certification date
Jan 14, 2021
Last updated
Jan 14, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QD0000X Clinic/Center, Dental––Yes

Practice location

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223

Phone 602-273-0013

Mailing address

125 W McDowell Rd Ste B
Phoenix, AZ 85003-1223

Phone 602-273-0013

Authorized official

Marija Mitic
DDS
2407158035

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