| North Valley Orthodontics Pllc | |
|
21050 N Tatum Blvd Ste D202 Phoenix AZ 85050-4260 | |
| (480) 419-2222 | |
| (480) 419-9222 |
| Full Name | North Valley Orthodontics Pllc |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 21050 N Tatum Blvd Ste D202, Phoenix, Arizona |
| Authorized Official Name and Position | Alyssa Levin (MANAGING MEMBER) |
| Authorized Official Contact | 4804192222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Valley Orthodontics Pllc 21050 N Tatum Blvd Ste D202 Phoenix AZ 85050-4260 Ph: (480) 419-2222 | North Valley Orthodontics Pllc 21050 N Tatum Blvd Ste D202 Phoenix AZ 85050-4260 Ph: (480) 419-2222 |
| NPI Number | 1053753228 |
|---|---|
| Provider Enumeration Date | 07/29/2013 |
| Last Update Date | 07/29/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053753228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D6818 (Arizona) | Primary |
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