| Phoenix Valley Dental Llc | |
|
2715 W Northern Ave Ste 101 Phoenix AZ 85051-6641 | |
| (602) 864-5007 | |
| Not Available |
| Full Name | Phoenix Valley Dental Llc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2715 W Northern Ave Ste 101, Phoenix, Arizona |
| Authorized Official Name and Position | Brandt Hansen (DENTIST) |
| Authorized Official Contact | 4806228539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Phoenix Valley Dental Llc 2715 W Northern Ave Ste 101 Phoenix AZ 85051-6641 Ph: (602) 864-5007 | Phoenix Valley Dental Llc 2715 W Northern Ave Ste 101 Phoenix AZ 85051-6641 Ph: (602) 864-5007 |
| NPI Number | 1063110013 |
|---|---|
| Provider Enumeration Date | 02/20/2023 |
| Last Update Date | 02/20/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063110013 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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