| Cactus Dental Care Llc | |
|
7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 | |
| (623) 979-4400 | |
| (623) 979-4402 |
| Full Name | Cactus Dental Care Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7440 W Cactus Rd Ste A18, Peoria, Arizona |
| Authorized Official Name and Position | Nancy Liephardt (OWNER/OFFICE MANAGER) |
| Authorized Official Contact | 6239794400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Dental Care Llc 7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 Ph: (623) 979-4400 | Cactus Dental Care Llc 7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 Ph: (623) 979-4400 |
| NPI Number | 1578987699 |
|---|---|
| Provider Enumeration Date | 02/10/2014 |
| Last Update Date | 02/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578987699 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 2583 (Arizona) | Primary |
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