| Open Wide Dental | |
|
6520 N 7th Ave Ste#1 Phoenix AZ 85013-1173 | |
| (602) 347-9999 | |
| (602) 249-7460 |
| Full Name | Open Wide Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 6520 N 7th Ave, Phoenix, Arizona |
| Authorized Official Name and Position | Thomas Durisek (PRESIDENT) |
| Authorized Official Contact | 6023479999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Open Wide Dental 6520 N 7th Ave Ste#1 Phoenix AZ 85013-1173 Ph: (602) 347-9999 | Open Wide Dental 6520 N 7th Ave Ste#1 Phoenix AZ 85013-1173 Ph: (602) 347-9999 |
| NPI Number | 1528333168 |
|---|---|
| Provider Enumeration Date | 03/15/2012 |
| Last Update Date | 03/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528333168 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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