Phoenix Orthodontics Llc

NPI 1205270386 - Dentist - 1223X0400X

NPI Details
NPI 1205270386
Enumeration Date 04/19/2013
Last Updated 04/19/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BRIAN BRIAN
Position OWNER
Phone (602) 242-5741
Fax (602) 242-5742
Practice Location
6750 N 19TH AVE
PHOENIX AZ, 85015-1127, US
Phone (602) 242-5741
Fax (602) 242-5742
Business Location
6750 N 19TH AVE
PHOENIX AZ, 85015-1127, US
Phone (602) 242-5741
Fax (602) 242-5742
Toxanomy
Taxonomy Code 1223X0400X
License State Nebraska
License Number D5273
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According to our database, Phoenix Orthodontics Llc NPI is 1205270386, taxonomy code is 1223X0400X and license number is D5273, license state is located at Nebraska. Phoenix Orthodontics Llc physically located at 6750 N 19th Ave, Phoenix AZ, 85015-1127. NPI Number 1033115704 has the healthcare provider type.

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1205270386 NPI number is provided on an as is basis without warranty of any kind. 1205270386 is maintained by the National Plan & Provider Enumeration System. The contents of Phoenix Orthodontics Llc are for informational purposes only.