| Dental | |
|
1902 N 16th St Phoenix AZ 85006-1908 | |
| (602) 253-3459 | |
| (602) 253-5619 |
| Full Name | Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1902 N 16th St, Phoenix, Arizona |
| Authorized Official Name and Position | Kazandra E Barrios (OWNER) |
| Authorized Official Contact | 6022533459 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental 1902 N 16th St Phoenix AZ 85006-1908 Ph: (602) 253-3459 | Dental 1902 N 16th St Phoenix AZ 85006-1908 Ph: (602) 253-3459 |
| NPI Number | 1538586631 |
|---|---|
| Provider Enumeration Date | 03/26/2014 |
| Last Update Date | 03/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538586631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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