| Lake Pleasant Orthodontic Specialists | |
|
10006 W Happy Valley Rd Suite1220 Peoria AZ 85383-1235 | |
| (623) 486-3377 | |
| (623) 825-1987 |
| Full Name | Lake Pleasant Orthodontic Specialists |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 10006 W Happy Valley Rd, Peoria, Arizona |
| Authorized Official Name and Position | Troy L. Christensen (ORTHODONTIST - OWNER) |
| Authorized Official Contact | 6234863377 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake Pleasant Orthodontic Specialists 10006 W Happy Valley Rd Suite1220 Peoria AZ 85383-1235 Ph: (623) 486-3377 | Lake Pleasant Orthodontic Specialists 10006 W Happy Valley Rd Suite1220 Peoria AZ 85383-1235 Ph: (623) 486-3377 |
| NPI Number | 1366627960 |
|---|---|
| Provider Enumeration Date | 01/02/2008 |
| Last Update Date | 01/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366627960 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D5668 (Arizona) | Primary |
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