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Arrowhead Dental Group, LLC

Dentist in Peoria, AZ. Organization (NPI-2).

NPI number1528204591
StatusActive
Last updated in NPPESDec 22, 2008

Details

NPI
1528204591
Entity type
Organization (NPI-2)
Legal business name
Arrowhead Dental Group, LLC
Organization subpart
No
Enumeration date
Dec 22, 2008
Last updated
Dec 22, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD6772AZYes

Other names

  • 75th Avenue Dentistry (Doing Business As)

Practice location

7545 W Bell Rd
#105
Peoria, AZ 85382-3832

Phone 623-412-2461 · Fax 623-979-7364

Mailing address

7545 W Bell Rd
#105
Peoria, AZ 85382-3832

Phone 623-412-2461 · Fax 623-979-7364

Authorized official

Fawne E Pryor
Insurance Manager
6235823902

Is something wrong?

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