Organization
OREST G KOMARNYCKYJ DDS PC
Active
Other names
First Step Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OREST GREGORY KOMARNYCKYJ DDS (PRESIDENT PERIODONTIST)
(602) 266-3430
Entity
Organization
Contact information
Practice address
1277 E MISSOURI AVE, SUITE 208, PHOENIX, AZ 85014-2915
(602) 266-3430
Mailing address
1277 E MISSOURI AVE, SUITE 208, PHOENIX, AZ 85014-2915
(602) 266-3430
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D2707
AZ
Other
Enumeration date
11/30/2006
Last updated
08/22/2020
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