Provider Demographics
NPI:1679032197
Name:DENKHA DENTISTRY, LLC
Entity Type:Organization
Organization Name:DENKHA DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:HIBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DENKHA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:602-824-9170
Mailing Address - Street 1:1601 E BELL RD STE A13
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-6254
Mailing Address - Country:US
Mailing Address - Phone:602-824-9170
Mailing Address - Fax:602-824-9407
Practice Address - Street 1:1601 E BELL RD STE A13
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-6254
Practice Address - Country:US
Practice Address - Phone:602-824-9170
Practice Address - Fax:602-824-9407
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-14
Last Update Date:2019-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental