Organization
BRIVADENTAL LLC
Active
Other names
AZ Cosmetic & Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VASUDHA NARRA DDS (OWNER)
(602) 439-1101
Entity
Organization
Contact information
Practice address
13695 N 75TH AVE, PEORIA, AZ 85381-6098
(602) 439-1101
(602) 789-1653
Mailing address
13695 N 75TH AVE, PEORIA, AZ 85381-6098
(602) 439-1101
(602) 789-1653
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
D07658
AZ
Other
Enumeration date
09/12/2013
Last updated
11/12/2020
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