Michael A. Warren Captial INC
Dentist, General Practice in Litchfield Park, AZ. Organization (NPI-2).
NPI number1154548469
StatusActive
Last updated in NPPESAug 5, 2011
Details
- NPI
- 1154548469
- Entity type
- Organization (NPI-2)
- Legal business name
- Michael A. Warren Captial INC
- Organization subpart
- No
- Enumeration date
- Apr 19, 2007
- Last updated
- Aug 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | D4840 | AZ | Yes |
Practice location
111 W Wigwam BlvdSuite A
Litchfield Park, AZ 85340-4636
Phone 623-935-9376 · Fax 623-536-9884
Mailing address
111 W Wigwam BlvdSuite A
Litchfield Park, AZ 85340-4636
Phone 623-935-9376 · Fax 623-536-9884
Authorized official
Michael Anthony Warren
Dentist
6239359376
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