| Core Family Dental, Llc | |
|
13460 N 94th Dr Ste K4 Peoria AZ 85381-4249 | |
| (623) 223-1036 | |
| Not Available |
| Full Name | Core Family Dental, Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 13460 N 94th Dr Ste K4, Peoria, Arizona |
| Authorized Official Name and Position | Antonio Quintana (CEO) |
| Authorized Official Contact | 4808899457 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Core Family Dental, Llc 4435 E Holmes Ave Ste 200 Mesa AZ 85206-3314 Ph: (480) 889-9457 | Core Family Dental, Llc 13460 N 94th Dr Ste K4 Peoria AZ 85381-4249 Ph: (623) 223-1036 |
| NPI Number | 1013530187 |
|---|---|
| Provider Enumeration Date | 05/24/2020 |
| Last Update Date | 05/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013530187 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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