| Cholla Hills Family Dentistry | |
|
7425 W Peoria Ave Suite 102 Peoria AZ 85345-5876 | |
| (623) 979-6363 | |
| (623) 334-2301 |
| Full Name | Cholla Hills Family Dentistry |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 7425 W Peoria Ave, Peoria, Arizona |
| Authorized Official Name and Position | Girija Nadarajan (MANAGING MEMBER OWNER) |
| Authorized Official Contact | 6239796363 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cholla Hills Family Dentistry 7425 W Peoria Ave Suite 102 Peoria AZ 85345-5876 Ph: (623) 979-6363 | Cholla Hills Family Dentistry 7425 W Peoria Ave Suite 102 Peoria AZ 85345-5876 Ph: (623) 979-6363 |
| NPI Number | 1417179870 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417179870 | NPI | - | NPPES |
| 274044 | Other | AZ | DBA |
| 1888390 | Other | AZ | UCCI |
| 76287 | Other | AZ | DHA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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