Organization
DENTISTRY AT 35TH AVENU
Active
Other names
DBA Floss Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VAN DDS (OWNER)
(623) 581-5532
Entity
Organization
Contact information
Practice address
18635 N 35TH AVENUE, PHOENIX, AZ 85027
(623) 581-5532
(623) 236-9360
Mailing address
18635 N 35TH AVENUE, PHOENIX, AZ 85027
(623) 581-5532
(623) 236-9360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008280
AZ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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