Organization · NPI-2

Affordable Dentures & Implants - Avondale II, P.C.

Dentist, General Practice · Avondale, AZ

NPI number1780368233
StatusActive
Last updated in NPPESNov 3, 2023

Details

NPI
1780368233
Entity type
Organization (NPI-2)
Legal business name
Affordable Dentures & Implants - Avondale II, P.C.
Organization subpart
No
Enumeration date
Jun 14, 2023
Certification date
Nov 3, 2023
Last updated
Nov 3, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice––Yes

Practice location

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Phone 623-688-5596

Mailing address

1619 N Dysart Rd Ste 105
Avondale, AZ 85392-1200

Phone 623-688-5596

Authorized official

Sibera Brannon
Owner
6236885596

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