National Provider Identifier Database

DENTAL AND BRACES MARYVALE LLC
Health Service


Contact Information

DENTAL AND BRACES MARYVALE LLC
6702 W CAMELBACK RD STE 100
GLENDALE, AZ85303-6324
Phone: 602-635-7450
Fax:
Website:
Specialty Taxonomy Code
* Health Service 261QH0100X

* Indicates primary specialty

NPI Profile & details for DENTAL AND BRACES MARYVALE LLC

NPI Number 1871058891
Legal business name
LBN
DENTAL AND BRACES MARYVALE LLC
Authorized official LIZ RAMOS - (MANAGER)
Entity Organization
Organization subpart No
Enumeration date 02/04/2019
Last updated 02/04/2019 - About 7 years ago
Sole proprietor1 Not specified
Identifiers
  • Other: 12740016 GENERAL DENTAL OFFICE

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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