BANNER MEDICAL GROUP DENTAL SERVICES LLC

PHOENIX, AZ
NPI1770953598
Entity TypeOrganization
Authorized ContactDENNIS DAHLEN
Sr VP Finance
602-747-4000
Organization Subpart ?Yes
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2015-10-06
Last Update Date2015-10-06
Business Address
BANNER MEDICAL GROUP DENTAL SERVICES LLC
1111 E MCDOWELL RD
PHOENIX, AZ 85006-2612
Phone number: 602-839-2000
Mailing Address
BANNER MEDICAL GROUP DENTAL SERVICES LLC
2901 N CENTRAL AVE
PHOENIX, AZ 85012-2700
Phone number:
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