Palo Verde Dentistry

NPI #1730427006 in Avondale, Arizona

Provider Information

NPI Number: 1730427006
Entity Type: Organization
Organization Name: Palo Verde Dentistry
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Jan 22, 2013
Last Updated: Jan 22, 2013

Practice Location

Address: 3400 N. DYSART RD
Address 2: STE G125
City: Avondale
State: Arizona
ZIP Code: 85392
Phone: (623) 322-9215

Authorized Official

Name: THIHAN PHAN, DDS
Title: DENTIST
Phone: (623) 322-9215

Specialties & Taxonomy Codes

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

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