Organization
FAMILY & COSMETIC DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN PULKRABEK (MEMBER/DENTIST)
(623) 848-1881
Entity
Organization
Contact information
Practice address
6535 W CAMELBACK RD, SUITE 2, PHOENIX, AZ 85033-1608
(623) 848-1881
(623) 846-0424
Mailing address
6535 W CAMELBACK RD, SUITE 2, PHOENIX, AZ 85033-1608
(623) 848-1881
(623) 846-0424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4738
AZ
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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