Phoenix Orthodontics Llc | |
6750 N 19th Ave Phoenix AZ 85015-1127 | |
(602) 242-5741 | |
(602) 242-5742 |
Full Name | Phoenix Orthodontics Llc |
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Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
Location | 6750 N 19th Ave, Phoenix, Arizona |
Authorized Official Name and Position | Brian Allmendinger (OWNER) |
Authorized Official Contact | 6022425741 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Phoenix Orthodontics Llc 6750 N 19th Ave Phoenix AZ 85015-1127 Ph: (602) 242-5741 | Phoenix Orthodontics Llc 6750 N 19th Ave Phoenix AZ 85015-1127 Ph: (602) 242-5741 |
NPI Number | 1205270386 |
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Provider Enumeration Date | 04/19/2013 |
Last Update Date | 04/19/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205270386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | D5273 (Nebraska) | Primary |
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