| Ventana Family Dentistry Llc | |
|
20403 N Lake Pleasant Rd Suite 121 Peoria AZ 85382-9702 | |
| (623) 566-1200 | |
| (623) 566-0114 |
| Full Name | Ventana Family Dentistry Llc |
|---|---|
| Speciality | Dentist |
| Location | 20403 N Lake Pleasant Rd, Peoria, Arizona |
| Authorized Official Name and Position | Craig Thompson (OWNER/DENTIST) |
| Authorized Official Contact | 6235661200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ventana Family Dentistry Llc 20403 N Lake Pleasant Rd Suite 121 Peoria AZ 85382-9702 Ph: (623) 566-1200 | Ventana Family Dentistry Llc 20403 N Lake Pleasant Rd Suite 121 Peoria AZ 85382-9702 Ph: (623) 566-1200 |
| NPI Number | 1295190072 |
|---|---|
| Provider Enumeration Date | 12/22/2015 |
| Last Update Date | 02/17/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295190072 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D4654 (Arizona) | Primary |
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