DENTAL AND BRACES MARYVALE LLC; NPI #1871058891

Contact Information

DENTAL AND BRACES MARYVALE LLC

6702 W CAMELBACK RD STE 100
GLENDALE, AZ 85303-6324

Phone: 602-635-7450
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Health Service	261QH0100X

Indicates primary specialty

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NPI Profile & details for DENTAL AND BRACES MARYVALE LLC

NPI # 1871058891

LBN Legal business name DENTAL AND BRACES MARYVALE LLC

Authorized official LIZ RAMOS - (MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 02/04/2019

Last updated 02/04/2019 - About 7 years ago

Identifiers

Other

12740016

GENERAL DENTAL OFFICE

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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DENTAL AND BRACES MARYVALE LLC

Contact Information

Specialty

Health Service

NPI Profile & details for DENTAL AND BRACES MARYVALE LLC

Reviews for DENTAL AND BRACES MARYVALE LLC