| Dental And Braces Roosevelt Pllc | |
|
1602 E Roosevelt St Ste 301 Phoenix AZ 85006-3678 | |
| (602) 888-2884 | |
| Not Available |
| Full Name | Dental And Braces Roosevelt Pllc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1602 E Roosevelt St Ste 301, Phoenix, Arizona |
| Authorized Official Name and Position | Liz Ramos (MANAGER) |
| Authorized Official Contact | 6027148203 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental And Braces Roosevelt Pllc 1515 N Gilbert Rd Ste 107-131 Gilbert AZ 85234-2318 Ph: (602) 714-8203 | Dental And Braces Roosevelt Pllc 1602 E Roosevelt St Ste 301 Phoenix AZ 85006-3678 Ph: (602) 888-2884 |
| NPI Number | 1659836369 |
|---|---|
| Provider Enumeration Date | 02/06/2019 |
| Last Update Date | 02/06/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659836369 | NPI | - | NPPES |
| 11901383 | Other | AZ | DENTAL OFFICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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