Icon Orthodontics | |
13775 N. Litchfield Rd Suite 108 Surprise AZ 85379 | |
(858) 663-4694 | |
Not Available |
Full Name | Icon Orthodontics |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 13775 N. Litchfield Rd, Surprise, Arizona |
Authorized Official Name and Position | Andrew P Sarpotdar (ORTHODONTIST) |
Authorized Official Contact | 8586634694 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Icon Orthodontics 20435 N 7th St #2019 Phoenix AZ 85024-6024 Ph: (858) 663-4694 | Icon Orthodontics 13775 N. Litchfield Rd Suite 108 Surprise AZ 85379 Ph: (858) 663-4694 |
NPI Number | 1326442187 |
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Provider Enumeration Date | 10/22/2014 |
Last Update Date | 10/22/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326442187 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D008698 (Arizona) | Primary |
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