| Dental Home, Llc | |
|
720 E Thunderbird Rd Ste 2 Phoenix AZ 85022-5396 | |
| (602) 863-3000 | |
| Not Available |
| Full Name | Dental Home, Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 720 E Thunderbird Rd Ste 2, Phoenix, Arizona |
| Authorized Official Name and Position | Michael R Hull (OWNER) |
| Authorized Official Contact | 6026150651 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Home, Llc 13821 N Moon Dr Phoenix AZ 85023-7120 Ph: (602) 615-0651 | Dental Home, Llc 720 E Thunderbird Rd Ste 2 Phoenix AZ 85022-5396 Ph: (602) 863-3000 |
| NPI Number | 1083182315 |
|---|---|
| Provider Enumeration Date | 11/05/2018 |
| Last Update Date | 11/05/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083182315 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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