Organization · Type 2 NPI

Maryland Avenue Periodontics, LLC

Periodontics · Phoenix, AZ

NPI number 1053602953 Active

Practice location

6520 N 7th Ave Ste 5
Phoenix, AZ 85013-1158

Call (602) 242-2588 Map

Fax (602) 242-3137

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300XNone listed

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1053602953

Maryland Avenue Periodontics, LLC's National Provider Identifier is 1053602953, issued on Apr 26, 2011. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 26, 2011.