| First Step Dental | |
|
1277 E Missouri Ave Suite 208 Phoenix AZ 85014-2915 | |
| (602) 266-3430 | |
| Not Available |
| Full Name | First Step Dental |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 1277 E Missouri Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Orest Gregory Komarnyckyj (PRESIDENT PERIODONTIST) |
| Authorized Official Contact | 6022663430 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| First Step Dental 1277 E Missouri Ave Suite 208 Phoenix AZ 85014-2915 Ph: (602) 266-3430 | First Step Dental 1277 E Missouri Ave Suite 208 Phoenix AZ 85014-2915 Ph: (602) 266-3430 |
| NPI Number | 1023186087 |
|---|---|
| Provider Enumeration Date | 11/30/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023186087 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | D2707 (Arizona) | Primary |
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