| Cactus Dental, Llc | |
|
7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 | |
| (623) 979-4400 | |
| (623) 979-4402 |
| Full Name | Cactus Dental, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 7440 W Cactus Rd Ste A18, Peoria, Arizona |
| Authorized Official Name and Position | Brett Garrett Hawkins (DENTIST/OWNER) |
| Authorized Official Contact | 6023633322 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cactus Dental, Llc 7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 Ph: (623) 979-4400 | Cactus Dental, Llc 7440 W Cactus Rd Ste A18 Peoria AZ 85381-9534 Ph: (623) 979-4400 |
| NPI Number | 1578022018 |
|---|---|
| Provider Enumeration Date | 03/14/2019 |
| Last Update Date | 03/14/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578022018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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