institution
Pda Holdings, Llc
Dental Clinic/Center in Phoenix, Arizona
NPI 1134345937

Pda Holdings, Llc is a Dental Clinic/Center based in Phoenix, AZ and is specialized in Dental. Pda Holdings, Llc practices in Phoenix, AZ. The NPI Number for Pda Holdings, Llc is 1134345937 and holds a License No. (Arizona).

The current practice location address for Pda Holdings, Llc is 1701 E Thomas Rd #204, Phoenix, AZ and can be reached out via phone at 602-253-6600 and via fax at 602-279-0821.

Location: 1701 E Thomas Rd #204, Phoenix, AZ, 85016-7675
institution
Provider Profile Details
NPI Number
1134345937
Provider Name
Pda Holdings, Llc
Credential
Provider Entity Type
Organization
Address
1701 E Thomas Rd #204, Phoenix, AZ, 85016-7675
Phone Number
602-253-6600
Fax Number
602-279-0821
Provider Enumeration Date
04/18/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
232643 01 AZ AHCCCS PROVIDER ID
institution
Provider Business Practice Location Address Details
Address
1701 E Thomas Rd #204
City
State
Zip
85016
Phone Number
602-253-6600
Fax Number
602-279-0821
person
Provider Business Mailing Address Details
Address
1701 E Thomas Rd #204
City
State
Zip
85016
Phone Number
602-253-6600
Fax Number
602-279-0821
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
License No.
()
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
()
Definition
Definition to come...
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