# BRETT A DAMERON DDS INC

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

## Provider details

- **NPI number:** 1881140531
- **Authorized official:** BRETT A DAMERON DDS (OWNER/DENTIST)
- **Authorized official phone:** (602) 992-1384

## Contact information

- **Practice address:** 12320 N 32ND ST, SUITE \#1, PHOENIX, AZ 85032-7154
- **Practice address phone:** (602) 992-1384
- **Practice address fax:** (602) 992-6104
- **Mailing address:** 12320 N. 32ND ST, \#1, PHOENIX, AZ 85032
- **Mailing address phone:** (602) 992-1384
- **Mailing address fax:** (602) 992-6104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 4800 | AZ | Yes |

## Other

- **Enumeration date:** 08/31/2016
- **Last updated:** 08/31/2016