Organization · Type 2 NPI
Dental Depot Orthodontics 83rd and Union Hills, PLLC
Dental Clinic/Center · Peoria, AZ
NPI number
1396586400
Active
Practice location
18855 N 83rd Ave Ste B
Peoria, AZ 85382-2806
Mailing address
2828 NW 30th St
Oklahoma City, OK 73112-7404
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1396586400
Dental Depot Orthodontics 83rd and Union Hills, PLLC's National Provider Identifier is 1396586400, issued on Jun 3, 2024. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Peoria, AZ. The record was last updated on Jun 3, 2024.