Organization
BRIVADENTAL LLC
Active
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
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up