Thomas S Durisek, Dds, Pc

NPI 1295919751 - Clinic/Center - 261QD0000X

NPI Details
NPI 1295919751
Enumeration Date 12/19/2007
Last Updated 12/19/2007
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name THOMAS SCOTT THOMAS
Position PRESIDENT
Phone (602) 347-9999
Fax
Practice Location
6520 N 7TH AVE
SUITE #1
PHOENIX AZ, 85013-1158, US
Phone (602) 347-9999
Fax
Business Location
6520 N 7TH AVE
SUITE #1
PHOENIX AZ, 85013-1158, US
Phone
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Arizona
License Number 4777
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According to our database, Thomas S Durisek, Dds, Pc NPI is 1295919751, taxonomy code is 261QD0000X and license number is 4777, license state is located at Arizona. Thomas S Durisek, Dds, Pc physically located at 6520 N 7th Ave, Phoenix AZ, 85013-1158. NPI Number 1033115704 has the healthcare provider type.

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1295919751 NPI number is provided on an as is basis without warranty of any kind. 1295919751 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas S Durisek, Dds, Pc are for informational purposes only.