# OFD13, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** One Family Dentistry
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316581481
- **Authorized official:** MR. HARRY NICHOLAS VONDRAK JR. (MANAGER)
- **Authorized official phone:** (402) 212-5131

## Contact information

- **Practice address:** 2837 W NORTHERN AVE, PHOENIX, AZ 85051-6646
- **Practice address phone:** (602) 622-9653
- **Mailing address:** PO BOX 45856, OMAHA, NE 68145-0856
- **Mailing address phone:** (402) 779-5334

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | NULL | Yes |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 11/01/2019
- **Last updated:** 11/01/2019