# DANTAL DENTAL TWO CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** DENTAL BROTHERS OF PHOENIX
- **Organization subpart:** No

## Provider details

- **NPI number:** 1710342035
- **Authorized official:** DR. TAL S GAFNI D.M.D. (PRESIDENT)
- **Authorized official phone:** (602) 432-4250

## Contact information

- **Practice address:** 12414 N 28TH DR, SUITE 1, PHOENIX, AZ 85029-2488
- **Practice address phone:** (602) 993-0670
- **Mailing address:** 12414 N 28TH DR, SUITE 1, PHOENIX, AZ 85029-2488
- **Mailing address phone:** (602) 993-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | D008536 | AZ | Yes |

## Other

- **Enumeration date:** 12/31/2015
- **Last updated:** 12/31/2015