institution
Mountain Park Health Center - Dental
Federally Qualified Health Center (FQHC) in Phoenix, Arizona
NPI 1710146188

Mountain Park Health Center - Dental is a Federally Qualified Health Center (FQHC) based in Phoenix, AZ and is specialized in Federally Qualified Health Center (FQHC). Mountain Park Health Center - Dental practices in Phoenix, AZ. The NPI Number for Mountain Park Health Center - Dental is 1710146188 and holds a License No. OTC0599 (Arizona).

The current practice location address for Mountain Park Health Center - Dental is 635 E Baseline Rd, Phoenix, AZ and can be reached out via phone at 602-243-7277 and via fax at 602-323-3299.

Location: 635 E Baseline Rd, Phoenix, AZ, 85012-2908
institution
Provider Profile Details
NPI Number
1710146188
Provider Name
Mountain Park Health Center - Dental
Credential
Provider Entity Type
Organization
Address
635 E Baseline Rd, Phoenix, AZ, 85012-2908
Phone Number
602-243-7277
Fax Number
602-323-3299
Provider Enumeration Date
06/02/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
635 E Baseline Rd
City
State
Zip
85042-6551
Phone Number
602-243-7277
Fax Number
602-323-3299
person
Provider Business Mailing Address Details
Address
635 E Baseline Rd
City
State
Zip
85042-6551
Phone Number
602-243-7277
Fax Number
602-323-3299
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Federally Qualified Health Center (FQHC)
Taxonomy
License No.
OTC0599 (Arizona)
Definition
Definition to come...
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