Enhouse Dental LLC

NPI #1083094205 in Phoenix, Arizona

Provider Information

NPI Number: 1083094205
Entity Type: Organization
Organization Name: Enhouse Dental LLC
Primary Specialty: Dentist
Enumeration Date: Jun 3, 2015
Last Updated: Jun 3, 2015

Practice Location

Address: 4747 E BELL RD
Address 2: SUITE 7
City: Phoenix
State: Arizona
ZIP Code: 85032-2301
Phone: (602) 507-6155

Authorized Official

Name: MISS HOLLY MARIE KOZERSKI
Title: PRACTICE ADMINISTRATOR
Phone: (602) 266-1776

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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