| Ahwatukee Orthodontic Associates Inc | |
|
16611 S. 40th Street, Suite 110 Phoenix AZ 85048 | |
| (480) 948-4010 | |
| Not Available |
| Full Name | Ahwatukee Orthodontic Associates Inc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 16611 S. 40th Street, Suite 110, Phoenix, Arizona |
| Authorized Official Name and Position | Sulieman Kassisieh (PRESIDENT) |
| Authorized Official Contact | 4809484010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahwatukee Orthodontic Associates Inc 9377 E. Bell Rd, Suite 185 Scottsdale AZ 85260 Ph: (480) 948-4010 | Ahwatukee Orthodontic Associates Inc 16611 S. 40th Street, Suite 110 Phoenix AZ 85048 Ph: (480) 948-4010 |
| NPI Number | 1558924415 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558924415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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