| Phoenix Endodontic Center Llc | |
|
13821 N 35th Dr Ste 2 Phoenix AZ 85053-5541 | |
| (602) 375-8063 | |
| (602) 863-3412 |
| Full Name | Phoenix Endodontic Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 13821 N 35th Dr Ste 2, Phoenix, Arizona |
| Authorized Official Name and Position | Gary Joseph Core (OWNER) |
| Authorized Official Contact | 6023758063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Endodontic Center Llc 13821 N. 35th Drive Suite 2 Phoenix AZ 85053 Ph: (602) 375-8063 | Phoenix Endodontic Center Llc 13821 N 35th Dr Ste 2 Phoenix AZ 85053-5541 Ph: (602) 375-8063 |
| NPI Number | 1144531393 |
|---|---|
| Provider Enumeration Date | 06/23/2010 |
| Last Update Date | 06/23/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144531393 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 2928 (Arizona) | Primary |
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