Organization · Type 2 NPI

Dental and Braces Dysart LLC

Dental Clinic/Center · Avondale, AZ

NPI number 1629676903 Active

Practice location

1450 N Dysart Rd Ste A7
Avondale, AZ 85323-1534

Call (623) 471-6962 Map

Fax (602) 714-8203

Mailing address

1515 N Gilbert Rd Ste 107-131
Gilbert, AZ 85234-2318

Specialties and licenses

TaxonomyCodeLicense
Dental Clinic/Center Primary 261QD0000XNone listed

Dental Clinic/Center: Definition to come...

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About NPI 1629676903

Dental and Braces Dysart LLC's National Provider Identifier is 1629676903, issued on Oct 9, 2020. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Avondale, AZ. The record was last updated on Oct 9, 2020.