| Dental And Braces Dysart Llc | |
|
1450 N Dysart Rd Ste A7 Avondale AZ 85323-1534 | |
| (623) 471-6962 | |
| (602) 714-8203 |
| Full Name | Dental And Braces Dysart Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1450 N Dysart Rd Ste A7, Avondale, Arizona |
| Authorized Official Name and Position | Elizabeth Ramos (CREDENTIALING) |
| Authorized Official Contact | 6027263221 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental And Braces Dysart Llc 1515 N Gilbert Rd Ste 107-131 Gilbert AZ 85234-2318 Ph: (602) 907-1501 | Dental And Braces Dysart Llc 1450 N Dysart Rd Ste A7 Avondale AZ 85323-1534 Ph: (623) 471-6962 |
| NPI Number | 1629676903 |
|---|---|
| Provider Enumeration Date | 10/09/2020 |
| Last Update Date | 10/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629676903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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