Provider Demographics
NPI:1780893768
Name:IRONWOOD DENTAL CENTER,INC
Entity type:Organization
Organization Name:IRONWOOD DENTAL CENTER,INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HARVEY
Authorized Official - Middle Name:BRUCE
Authorized Official - Last Name:ARNCE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:480-704-0701
Mailing Address - Street 1:15425 S 40TH PL
Mailing Address - Street 2:STE 1
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85044-3746
Mailing Address - Country:US
Mailing Address - Phone:480-704-0701
Mailing Address - Fax:480-704-0787
Practice Address - Street 1:15425 S 40TH PL
Practice Address - Street 2:STE 1
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85044-3746
Practice Address - Country:US
Practice Address - Phone:480-704-0701
Practice Address - Fax:480-704-0787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-22
Last Update Date:2015-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ3329122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty