Organization · Type 2 NPI

Soh of Arizona Specialty LLC

Orthodontics and Dentofacial Orthopedics Dentistry · Glendale, AZ

NPI number 1104554179 Active

Practice location

6120 W Bell Rd Ste 190
Glendale, AZ 85308-3786

Call (602) 485-4700 Map

Mailing address

1190 Meramec Station Rd Ste 110
Ballwin, MO 63021-6902

Specialties and licenses

TaxonomyCodeLicense
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400XNone listed

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1104554179

Soh of Arizona Specialty LLC's National Provider Identifier is 1104554179, issued on Aug 9, 2022. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Glendale, AZ. The record was last updated on Sep 28, 2026.