| Crescent View Family Dental, Llc | |
|
4015 N 15th Ave Phoenix AZ 85015-5209 | |
| (602) 248-0434 | |
| (602) 248-2814 |
| Full Name | Crescent View Family Dental, Llc |
|---|---|
| Speciality | Dentist |
| Location | 4015 N 15th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Laraine Grey (OWNER/MANAGER) |
| Authorized Official Contact | 6022480434 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crescent View Family Dental, Llc 4015 N 15th Ave Phoenix AZ 85015-5209 Ph: (602) 248-0434 | Crescent View Family Dental, Llc 4015 N 15th Ave Phoenix AZ 85015-5209 Ph: (602) 248-0434 |
| NPI Number | 1083938153 |
|---|---|
| Provider Enumeration Date | 03/18/2010 |
| Last Update Date | 03/18/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083938153 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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