Organization
PREMIER ORTHODONTIC SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN R. COLES DDS, MSD (OWNER)
(480) 361-4600
Entity
Organization
Contact information
Practice address
3230 S. GILBERT RD. STE. 1, CHANDLER, AZ 85286
(480) 361-4600
Mailing address
3230 S. GILBERT RD. STE. 1, CHANDLER, AZ 85286
(480) 361-4600
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/21/2019
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