Organization · Type 2 NPI

Mountain Park Health Center - Dental

Federally Qualified Health Center (FQHC) · Phoenix, AZ

NPI number 1710146188 Active

Practice location

635 E Baseline Rd
Phoenix, AZ 85042-6551

Call (602) 243-7277 Map

Fax (602) 323-3299

Mailing address

3003 N Central Ave Ste 1600
Phoenix, AZ 85012-2908

Specialties and licenses

TaxonomyCodeLicense
Federally Qualified Health Center (FQHC) Primary 261QF0400XOTC0599 (AZ)

Federally Qualified Health Center (FQHC): Definition to come...

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About NPI 1710146188

Mountain Park Health Center - Dental's National Provider Identifier is 1710146188, issued on Jun 2, 2008. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Phoenix, AZ. The record was last updated on Mar 13, 2018.