| Thielen Dental Llc | |
|
5911 W Baseline Rd Ste B-100 Laveen AZ 85339-2810 | |
| (602) 281-1172 | |
| Not Available |
| Full Name | Thielen Dental Llc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 5911 W Baseline Rd Ste B-100, Laveen, Arizona |
| Authorized Official Name and Position | Valerie Hamilton (DIRECTOR, PAYOR STRATEGY) |
| Authorized Official Contact | 3154105531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Thielen Dental Llc Po Box 70887 Cleveland OH 44190-0887 Ph: (315) 410-5531 | Thielen Dental Llc 5911 W Baseline Rd Ste B-100 Laveen AZ 85339-2810 Ph: (602) 281-1172 |
| NPI Number | 1649018417 |
|---|---|
| Provider Enumeration Date | 07/17/2024 |
| Last Update Date | 07/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649018417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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