# DENTISTRY AT 35TH AVENU

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DBA Floss Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013346857
- **Authorized official:** JOHN VAN DDS (OWNER)
- **Authorized official phone:** (623) 581-5532

## Contact information

- **Practice address:** 18635 N 35TH AVENUE, PHOENIX, AZ 85027
- **Practice address phone:** (623) 581-5532
- **Practice address fax:** (623) 236-9360
- **Mailing address:** 18635 N 35TH AVENUE, PHOENIX, AZ 85027
- **Mailing address phone:** (623) 581-5532
- **Mailing address fax:** (623) 236-9360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008280 | AZ | Yes |

## Other

- **Enumeration date:** 11/02/2013
- **Last updated:** 11/02/2013