Central Avenue Specialty, Pllc.

NPI 1104257963 - Dentist - 1223P0700X

NPI Details
NPI 1104257963
Enumeration Date 12/04/2013
Last Updated 12/04/2013
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ANTHONY E ANTHONY
Position OWNER
Phone (602) 266-1776
Fax (602) 234-1814
Practice Location
5133 N CENTRAL AVE
SUITE 200
PHOENIX AZ, 85012-1438, US
Phone (602) 266-1776
Fax (602) 234-1814
Business Location
5133 N CENTRAL AVE
SUITE 102
PHOENIX AZ, 85012-1438, US
Phone (602) 266-1776
Fax (602) 234-1814
Toxanomy
Taxonomy Code 1223P0700X
License State Arizona
License Number D008106
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According to our database, Central Avenue Specialty, Pllc. NPI is 1104257963, taxonomy code is 1223P0700X and license number is D008106, license state is located at Arizona. Central Avenue Specialty, Pllc. physically located at 5133 N Central Ave, Phoenix AZ, 85012-1438. NPI Number 1033115704 has the healthcare provider type.

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1104257963 NPI number is provided on an as is basis without warranty of any kind. 1104257963 is maintained by the National Plan & Provider Enumeration System. The contents of Central Avenue Specialty, Pllc. are for informational purposes only.