Organization
NORTH VALLEY ORTHODONTICS PLLC
Active
Organization
NORTH VALLEY ORTHODONTICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSSA LEVIN DDS, MS (MANAGING MEMBER)
(480) 419-2222
Entity
Organization
Contact information
Practice address
21050 N TATUM BLVD STE D202, PHOENIX, AZ 85050-4260
(480) 419-2222
(480) 419-9222
Mailing address
21050 N TATUM BLVD STE D202, PHOENIX, AZ 85050-4260
(480) 419-2222
(480) 419-9222
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6818
AZ
Other
Enumeration date
07/29/2013
Last updated
07/29/2013
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