Brent Taylor Packer, DMD

NPI #1104931633 in Gilbert, Arizona

Provider Information

NPI Number: 1104931633
Entity Type: Individual
Name: Brent Taylor Packer, DMD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DMD
Enumeration Date: Aug 21, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1400 N GILBERT RD
Address 2: SUITE A
City: Gilbert
State: Arizona
ZIP Code: 85234-2328
Phone: (480) 892-5089

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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