PHOENIX MOUNTAIN DENTISTRY, LLC

PHOENIX, AZ
NPI1295850808
Entity TypeOrganization
Authorized ContactFAWNE PRYOR
Ar And Insurance Manager
602-944-0073
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D5983)
Enumeration Date2007-03-20
Last Update Date2020-08-22
Business Address
PHOENIX MOUNTAIN DENTISTRY, LLC
4155 N 108TH AVE STE 101
PHOENIX, AZ 85037-5464
Phone number: 623-877-4044
Mailing Address
PHOENIX MOUNTAIN DENTISTRY, LLC
2323 W MESCAL ST STE 205
PHOENIX, AZ 85029-4764
Phone number: 602-944-0073
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