Matthew Adam Defelice D.D.S.

NPI 1013914696 - Dentist - 1223S0112X

NPI Details
NPI 1013914696
Gender Male
Enumeration Date 06/28/2005
Last Updated 11/13/2012
Entity Type Individual
Active Over 11 years ago
Practice Location
20950 N TATUM BLVD
STE 120
PHOENIX AZ, 85050-4204, US
Phone (480) 563-3960
Fax
Business Location
20950 N TATUM BLVD
STE 120
PHOENIX AZ, 85050-4204, US
Phone (480) 563-3960
Fax
Toxanomy
Taxonomy Code 1223S0112X
License State Arizona
License Number 5196
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According to our database, Dr. Matthew Adam Defelice D.D.S. NPI is 1013914696, taxonomy code is 1223S0112X and license number is 5196, license state is located at Arizona. Matthew Adam Defelice D.D.S. physically located at 20950 N Tatum Blvd, Phoenix AZ, 85050-4204. NPI Number Matthew Adam Defelice D.D.S. has the Individual type.

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1013914696 NPI number is provided on an as is basis without warranty of any kind. 1013914696 is maintained by the National Plan & Provider Enumeration System. The contents of Matthew Adam Defelice D.D.S. are for informational purposes only.