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DHEW IND HLTH SV HLTH SVS & MNTL HLTH ADM.

Organization (NPI-2) Active

Dentist

Provider Information

NPI Number
1992819858
Provider Type
Organization / Facility (NPI-2)
Status
Active

Contact & Location

Address
4212 N 16TH ST, PHOENIX, AZ, 850165319
Phone
(602) 263-1200
Fax
(602) 263-1619

Specialties & Taxonomies

Dental Assistant
Dentist, Dental Public Health
Dentist, Endodontics
Dentist, Prosthodontics
Dentist, Orthodontics and Dentofacial Orthopedics
Dental Hygienist
Dentist, Periodontics
Dentist, Pediatric Dentistry
Dentist, Oral and Maxillofacial Surgery
Dentist, General Practice
Dentist Primary

All Addresses

MAILING

PO BOX 95460

CLEVELAND, OH, 441010033

(602) 581-6076

LOCATION

4212 N 16TH ST

PHOENIX, AZ, 850165319

(602) 263-1200