Dental Onw

NPI #1083724579 in Glendale, Arizona

Provider Information

NPI Number: 1083724579
Entity Type: Organization
Organization Name: Dental Onw
Primary Specialty: Dentist
Enumeration Date: Aug 30, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 20359 N 59TH AVE
Address 2: #101
City: Glendale
State: Arizona
ZIP Code: 85308
Phone: (623) 376-9400

Authorized Official

Name: DEE BRETALL
Title: OFFICE MANAGER
Phone: (623) 376-9400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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