Brivadental Llc

NPI 1043645765 - Clinic/Center - 261Q00000X

NPI Details
NPI 1043645765
Enumeration Date 09/12/2013
Last Updated 09/12/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name VASUDHA VASUDHA
Position OWNER
Phone (602) 439-1101
Fax (602) 789-1653
Practice Location
5757 W THUNDERBIRD RD
W300
GLENDALE AZ, 85306-4641, US
Phone (602) 439-1101
Fax (602) 789-1653
Business Location
5757 W THUNDERBIRD RD
W300
GLENDALE AZ, 85306-4641, US
Phone (602) 439-1101
Fax (602) 789-1653
Toxanomy
Taxonomy Code 261Q00000X
License State Arizona
License Number D07658
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According to our database, Brivadental Llc NPI is 1043645765, taxonomy code is 261Q00000X and license number is D07658, license state is located at Arizona. Brivadental Llc physically located at 5757 W Thunderbird Rd, Glendale AZ, 85306-4641. NPI Number 1033115704 has the healthcare provider type.

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1043645765 NPI number is provided on an as is basis without warranty of any kind. 1043645765 is maintained by the National Plan & Provider Enumeration System. The contents of Brivadental Llc are for informational purposes only.