Organization
DR PAUL L BRANDT JR DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL LOULS BRANDT JR. DDS (OWNER)
(602) 942-1461
Entity
Organization
Contact information
Practice address
14231 N 7TH STREET, SUITE A1, PHOENIX, AZ 85022
(602) 942-1461
(602) 942-1763
Mailing address
14231 N 7TH STREET, SUITE A1, PHOENIX, AZ 85022
(602) 942-1461
(602) 942-1763
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1604
AZ
Other
Enumeration date
10/31/2006
Last updated
07/29/2008
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