Organization
HAPPY TEETH AVONDALE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESFROM CENTURION (MANAGER)
(602) 841-4405
Entity
Organization
Contact information
Practice address
10740 W LOWER BUCKEYE RD, AVONDALE, AZ 85323-9655
(602) 841-4405
Mailing address
PO BOX 39980, PHOENIX, AZ 85069-0980
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
06/02/2015
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