MOUNTAIN PARK DENTISTRY L.L.C. is a general practice dentist in Phoenix, AZ. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MOUNTAIN PARK DENTISTRY L.L.C. NPI is 1457719114. The provider is registered as an organization entity type and is a multi-specialty group.
The provider's business location address is:
15215 S 48TH ST STE 175
PHOENIX, AZ
ZIP 85044-140
Phone: (480) 759-9300
Fax: (480) 759-2130
The provider's authorized official is Randy Mow .
The authorized official title is Owner and has the following contact phone number (480) 759-9300.
The CLIA number assigned to this NPI record is 03D2075031 - assisted living facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 2/9/2016 and was last updated on 2/9/2016.