| Dental Care Of Moon Valley | |
|
15640 N 7th St Ste A4 Phoenix AZ 85022-3520 | |
| (602) 843-6000 | |
| Not Available |
| Full Name | Dental Care Of Moon Valley |
|---|---|
| Speciality | Dentist |
| Location | 15640 N 7th St Ste A4, Phoenix, Arizona |
| Authorized Official Name and Position | Chad Hines (DENTIST, OWNER) |
| Authorized Official Contact | 3193313709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Care Of Moon Valley 15640 N 7th St Ste A4 Phoenix AZ 85022-3520 Ph: (602) 843-6000 | Dental Care Of Moon Valley 15640 N 7th St Ste A4 Phoenix AZ 85022-3520 Ph: (602) 843-6000 |
| NPI Number | 1225409014 |
|---|---|
| Provider Enumeration Date | 10/19/2015 |
| Last Update Date | 10/19/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225409014 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9188 (Arizona) | Primary |
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