| Ooli Valley Orthodontics | |
|
1701 W Glendale Ave Suite #3 Phoenix AZ 85021-9701 | |
| (480) 777-7759 | |
| (480) 777-7120 |
| Full Name | Ooli Valley Orthodontics |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 1701 W Glendale Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Won-woo Park (PRESIDENT) |
| Authorized Official Contact | 4807777759 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ooli Valley Orthodontics 6200 S Mcclintock Dr Suite #4 Tempe AZ 85283-3268 Ph: (480) 777-7759 | Ooli Valley Orthodontics 1701 W Glendale Ave Suite #3 Phoenix AZ 85021-9701 Ph: (480) 777-7759 |
| NPI Number | 1740482694 |
|---|---|
| Provider Enumeration Date | 06/04/2007 |
| Last Update Date | 06/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740482694 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 6542 (Arizona) | Primary |
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