| Baptist Dental Center, Inc. | |
|
7802 N 43rd Ave Ste 8 Glendale AZ 85301-8111 | |
| (623) 939-6215 | |
| Not Available |
| Full Name | Baptist Dental Center, Inc. |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7802 N 43rd Ave Ste 8, Glendale, Arizona |
| Authorized Official Name and Position | Jack J Huh (DENTIST / OWNER) |
| Authorized Official Contact | 6239396215 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Baptist Dental Center, Inc. 7802 N 43rd Ave Ste 8 Glendale AZ 85301-8111 Ph: (623) 939-6215 | Baptist Dental Center, Inc. 7802 N 43rd Ave Ste 8 Glendale AZ 85301-8111 Ph: (623) 939-6215 |
| NPI Number | 1073919452 |
|---|---|
| Provider Enumeration Date | 11/12/2014 |
| Last Update Date | 11/12/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073919452 | NPI | - | NPPES |
| 102905 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | D04284 (Arizona) | Primary |
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