Organization · Type 2 NPI

Brivadental LLC

Clinic/Center · Peoria, AZ

NPI number 1043645765 Active

Practice location

13695 N 75th Ave
Peoria, AZ 85381-6098

Fax (602) 789-1653

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000XD07658 (AZ)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

2 other providers at this address

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About NPI 1043645765

Brivadental LLC's National Provider Identifier is 1043645765, issued on Sep 12, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Peoria, AZ. The record was last updated on Nov 12, 2020.