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
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center Primary | 261Q00000X | D07658 (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.