Dental and Braces Laveen

NPI #1770181042 in Laveen, Arizona

Provider Information

NPI Number
1770181042
Entity Type
Organization
Organization Name
Dental and Braces Laveen
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Oct 9, 2020
Last Updated
Oct 9, 2020

Practice Location

Address
3624 W BASELINE RD STE 170
City
Laveen
State
Arizona
ZIP Code
85339-3044
Phone
(602) 935-6202

Authorized Official

Name
ELIZABETH RAMOS
Title
CREDENTIALING
Phone
(602) 726-3221

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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