Dickerson Orthodontics and Pediatric Dentistry LLC

NPI #1154044386 in Chandler, Arizona

Provider Information

NPI Number: 1154044386
Entity Type: Organization
Organization Name: Dickerson Orthodontics and Pediatric Dentistry LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Sep 22, 2022
Last Updated: Sep 22, 2022

Practice Location

Address: 1200 W WARNER RD STE 1
City: Chandler
State: Arizona
ZIP Code: 85224-2758
Phone: (480) 963-2535

Authorized Official

Name: DR. TODD DICKERSON, DDS
Title: OWNER
Phone: (602) 799-4093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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