| Mary J. Brannock Dds Pc | |
|
13430 N Scottsdale Rd #100 Scottsdale AZ 85254-4057 | |
| (480) 922-0600 | |
| (480) 922-0981 |
| Full Name | Mary J. Brannock Dds Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 13430 N Scottsdale Rd, Scottsdale, Arizona |
| Authorized Official Name and Position | David W Brannock (OFICE MANAGER) |
| Authorized Official Contact | 4809220600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary J. Brannock Dds Pc 13430 N Scottsdale Rd #100 Scottsdale AZ 85254-4057 Ph: (480) 922-0600 | Mary J. Brannock Dds Pc 13430 N Scottsdale Rd #100 Scottsdale AZ 85254-4057 Ph: (480) 922-0600 |
| NPI Number | 1548456924 |
|---|---|
| Provider Enumeration Date | 09/19/2007 |
| Last Update Date | 09/19/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548456924 | NPI | - | NPPES |
| 1992874689 | Other | AZ | DENTAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 4818 (Arizona) | Primary |
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