Organization · NPI-2

Avon Dental PLLC

Dentist · Avondale, AZ

NPI number1306031943
StatusActive
Last updated in NPPESSep 6, 2007

Details

NPI
1306031943
Entity type
Organization (NPI-2)
Legal business name
Avon Dental PLLC
Organization subpart
No
Enumeration date
Sep 6, 2007
Last updated
Sep 6, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
122300000X DentistD5484AZYes

Practice location

10740 W Lower Buckeye Rd Ste 105
Avondale, AZ 85323-9655

Phone 623-882-9888 · Fax 623-882-9207

Mailing address

10740 W Lower Buckeye Rd Ste 105
Avondale, AZ 85323-9655

Phone 623-882-9888 · Fax 623-882-9207

Authorized official

David Marcus Chei
C.E.O.
6238829888

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