| Moon Valley Dental Llc | |
|
13825 N 7th St Ste C Phoenix AZ 85022-4342 | |
| (602) 993-9912 | |
| Not Available |
| Full Name | Moon Valley Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13825 N 7th St Ste C, Phoenix, Arizona |
| Authorized Official Name and Position | Mark C Eich (DIRECTOR) |
| Authorized Official Contact | 4803102582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Moon Valley Dental Llc 8035 S 27th Way Phoenix AZ 85042-7063 Ph: (480) 760-5528 | Moon Valley Dental Llc 13825 N 7th St Ste C Phoenix AZ 85022-4342 Ph: (602) 993-9912 |
| NPI Number | 1215610555 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/14/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215610555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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