Organization · NPI-2

A Paul Serrano DDS PC

Dentist, Orthodontics and Dentofacial Orthopedics · Phoenix, AZ

NPI number1609989748

StatusActive

Last updated in NPPESDec 2, 2010

Details

NPI: 1609989748
Entity type: Organization (NPI-2)
Legal business name: A Paul Serrano DDS PC
Organization subpart: No
Enumeration date: Aug 15, 2006
Last updated: Dec 2, 2010

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
1223X0400X	Dentist, Orthodontics and Dentofacial Orthopedics	D2814	AZ	Yes
1223X0400X	Dentist, Orthodontics and Dentofacial Orthopedics	D5543	AZ
332BC3200X	Durable Medical Equipment & Medical Supplies, Customized Equipment	–	–

Practice location

1515 E Missouri
Ste 101
Phoenix, AZ 85014-2443

Phone 602-274-7840 · Fax 602-274-7956

Mailing address

1515 E Missouri
Ste 101
Phoenix, AZ 85014-2443

Phone 602-274-7840 · Fax 602-274-7956

Authorized official

Albert Paul Serrano
Owner/DDS
6022747840

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