| West Valley Braces | |
|
14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 | |
| (623) 935-9873 | |
| Not Available |
| Full Name | West Valley Braces |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 14100 N 83rd Ave Ste 280, Peoria, Arizona |
| Authorized Official Name and Position | Terry Barnes (DIRECTOR OF OPERSATIONS) |
| Authorized Official Contact | 6239359873 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| West Valley Braces 14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 Ph: (623) 935-9873 | West Valley Braces 14100 N 83rd Ave Ste 280 Peoria AZ 85381-5660 Ph: (623) 935-9873 |
| NPI Number | 1114565744 |
|---|---|
| Provider Enumeration Date | 12/13/2019 |
| Last Update Date | 12/13/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114565744 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | (* (Not Available)) | Primary |
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