| West Cactus Dental | |
|
2933 W Cactus Rd Phoenix AZ 85029-2346 | |
| (602) 863-9079 | |
| (602) 863-0541 |
| Full Name | West Cactus Dental |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2933 W Cactus Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Ernest Nelms Johnson (PRESIDENT) |
| Authorized Official Contact | 6028639079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Cactus Dental 2933 W Cactus Rd Phoenix AZ 85029-2346 Ph: (602) 863-9079 | West Cactus Dental 2933 W Cactus Rd Phoenix AZ 85029-2346 Ph: (602) 863-9079 |
| NPI Number | 1902081359 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 01/04/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902081359 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 5010 (Arizona) | Primary |
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