Organization
SAN MARCOS ORTHODONTICS PLLC
Active
Organization
SAN MARCOS ORTHODONTICS PLLC
Active
Other names
Serrano & Kyger Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
A PAUL SERRANO DDS (OFFICER OWNER)
(480) 899-1633
Entity
Organization
Contact information
Practice address
800 W. CHANDLER BLVD, STE 5, CHANDLER, AZ 85225-2508
(480) 899-1633
(480) 786-3647
Mailing address
800 W. CHANDLER BLVD, STE 5, CHANDLER, AZ 85225-2508
(480) 899-1633
(480) 786-3647
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D2814
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D4690
AZ
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/05/2006
Last updated
09/30/2010
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