Cbs-oms Pllc

NPI 1124392790 - Dentist - 1223S0112X

NPI Details
NPI 1124392790
Enumeration Date 02/29/2012
Last Updated 06/07/2012
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name CHARLES BRIAN CHARLES
Position PRESIDENT
Phone (602) 667-6673
Fax (888) 523-9006
Practice Location
4715 N 32ND ST
SUITE 108
PHOENIX AZ, 85018-3300, US
Phone (602) 667-6673
Fax (888) 523-9006
Business Location
4715 N 32ND ST
SUITE 108
PHOENIX AZ, 85018-3300, US
Phone (602) 667-6673
Fax (888) 523-9006
Toxanomy
Taxonomy Code 1223S0112X
License State Arizona
License Number AZ8004
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According to our database, Cbs-oms Pllc NPI is 1124392790, taxonomy code is 1223S0112X and license number is AZ8004, license state is located at Arizona. Cbs-oms Pllc physically located at 4715 N 32nd St, Phoenix AZ, 85018-3300. NPI Number 1033115704 has the healthcare provider type.

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1124392790 NPI number is provided on an as is basis without warranty of any kind. 1124392790 is maintained by the National Plan & Provider Enumeration System. The contents of Cbs-oms Pllc are for informational purposes only.