| Purely Dental Surgery Llc | |
|
12320 N 32nd St Ste 2 Phoenix AZ 85032-7154 | |
| (602) 354-5356 | |
| Not Available |
| Full Name | Purely Dental Surgery Llc |
|---|---|
| Speciality | Dentist |
| Location | 12320 N 32nd St Ste 2, Phoenix, Arizona |
| Authorized Official Name and Position | Brent L Woodmansee (MANAGING PARTNER) |
| Authorized Official Contact | 6027992251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Purely Dental Surgery Llc 12320 N 32nd St Ste 2 Phoenix AZ 85032-7154 Ph: (602) 354-5356 | Purely Dental Surgery Llc 12320 N 32nd St Ste 2 Phoenix AZ 85032-7154 Ph: (602) 354-5356 |
| NPI Number | 1003479882 |
|---|---|
| Provider Enumeration Date | 04/17/2019 |
| Last Update Date | 04/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003479882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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