# DA VINCI DENTAL PHOENIX

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477833069
- **Authorized official:** DR. BRYAN JOSEPH DEAVILA D.D.S. (CO-OWNER)
- **Authorized official phone:** (602) 336-1111

## Contact information

- **Practice address:** 5336 N 7TH AVE, PHOENIX, AZ 85013-1903
- **Practice address phone:** (602) 336-1111
- **Mailing address:** 5336 N 7TH AVE, PHOENIX, AZ 85013-1903
- **Mailing address phone:** (602) 336-1111

## Taxonomy

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

## Other

- **Enumeration date:** 08/26/2011
- **Last updated:** 08/26/2011