Provider First Line Business Practice Location Address:
16226 N CAVE CREEK RD
Provider Second Line Business Practice Location Address:
VALLEY DENTAL CENTER
Provider Business Practice Location Address City Name:
PHOENIX
Provider Business Practice Location Address State Name:
AZ
Provider Business Practice Location Address Postal Code:
85032
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
602-867-8837
Provider Business Practice Location Address Fax Number:
602-867-2720
Provider Enumeration Date:
10/31/2006