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Premier Orthodontic Specialists PLLC

Dentist, Orthodontics and Dentofacial Orthopedics in Chandler, AZ. Organization (NPI-2).

NPI number1033776455
StatusActive
Last updated in NPPESMay 21, 2019

Details

NPI
1033776455
Entity type
Organization (NPI-2)
Legal business name
Premier Orthodontic Specialists PLLC
Organization subpart
No
Enumeration date
May 21, 2019
Last updated
May 21, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics––Yes

Practice location

3230 S. Gilbert Rd. Ste. 1
Chandler, AZ 85286

Phone 480-361-4600

Mailing address

3230 S. Gilbert Rd. Ste. 1
Chandler, AZ 85286

Phone 480-361-4600

Authorized official

Dustin R. Coles
Owner
4803614600

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