Provider Demographics
NPI:1184228744
Name:DRILLING AND FILLING LLC
Entity type:Organization
Organization Name:DRILLING AND FILLING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:HASLIP
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-231-5838
Mailing Address - Street 1:18425 E ASHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:QUEEN CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85142-3618
Mailing Address - Country:US
Mailing Address - Phone:480-231-5838
Mailing Address - Fax:
Practice Address - Street 1:975 E RIGGS RD STE 8
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85249-4260
Practice Address - Country:US
Practice Address - Phone:480-282-9972
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-24
Last Update Date:2020-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental