| Hdp North Valley Dental Llc | |
|
42104 N Venture Dr Ste 103 Anthem AZ 85086-3823 | |
| (623) 551-9200 | |
| Not Available |
| Full Name | Hdp North Valley Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 42104 N Venture Dr Ste 103, Anthem, Arizona |
| Authorized Official Name and Position | Faith Gaskins (DIRECTOR OF CREDENTIALING) |
| Authorized Official Contact | 9728693789 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hdp North Valley Dental Llc 42104 N Venture Dr Ste 103 Anthem AZ 85086-3823 Ph: (623) 551-9200 | Hdp North Valley Dental Llc 42104 N Venture Dr Ste 103 Anthem AZ 85086-3823 Ph: (623) 551-9200 |
| NPI Number | 1578195517 |
|---|---|
| Provider Enumeration Date | 02/07/2020 |
| Last Update Date | 02/07/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578195517 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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