Organization · NPI-2

1-2-3 Breathe Free LLC

Dentist, General Practice · Avondale, AZ

NPI number1467229054
StatusActive
Last updated in NPPESDec 5, 2023

Details

NPI
1467229054
Entity type
Organization (NPI-2)
Legal business name
1-2-3 Breathe Free LLC
Organization subpart
No
Enumeration date
Dec 5, 2023
Certification date
Dec 4, 2023
Last updated
Dec 5, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

10320 W Mcdowell Rd Ste 3010
Avondale, AZ 85392-4867

Phone 623-535-4194

Mailing address

18587 W Minnezona Ave
Goodyear, AZ 85395-4001

Authorized official

Michael Jones
President
6232613564

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