| Cloud Nine Dental Care, Llc | |
|
111 W Monroe St Ste 131 Phoenix AZ 85003-1717 | |
| (602) 626-7952 | |
| Not Available |
| Full Name | Cloud Nine Dental Care, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 111 W Monroe St Ste 131, Phoenix, Arizona |
| Authorized Official Name and Position | Annie Ballard (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 6025180197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cloud Nine Dental Care, Llc 2659 N Ridge Cir Mesa AZ 85203-2174 Ph: (602) 518-0197 | Cloud Nine Dental Care, Llc 111 W Monroe St Ste 131 Phoenix AZ 85003-1717 Ph: (602) 626-7952 |
| NPI Number | 1659981363 |
|---|---|
| Provider Enumeration Date | 08/06/2020 |
| Last Update Date | 08/06/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659981363 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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