PHOENIX MOUNTAIN DENTISTRY, LLC
Dentist at 108 Ave, Phoenix, AZ

License number
Arizona D5983
Category
Dentist
Type
Dentist
Owner
Name: MS. FAWNE PRYOR
Title: AR AND INSURANCE MANAGER
Phone: (602) 944-0073
Address
Address
4155 N 108Th Ave STE 101, Phoenix, AZ 85037
National Provider ID: 1295850808
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about PHOENIX MOUNTAIN DENTISTRY, LLC at bizstanding.com

PHOENIX MOUNTAIN DENTISTRY, LLC

#101 & 102, Phoenix, AZ 85037

Registration:
Jun 15, 2006
State ID:
L-1292314-0
Expiration:
Perpetual
Member:
Soi D Hinh (Member), 4155 N 108 Ave #101-102, Phoenix, AZ 85037 (Physical)
Agent:
Jim Anson,2323 W Mescal #205, Phoenix, AZ 85024 (Physical)

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