Individual
BRENT TAYLOR PACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1400 N GILBERT RD, SUITE A, GILBERT, AZ 85234-2328
(480) 892-5089
(480) 892-4236
Mailing address
1400 N GILBERT RD, SUITE A, GILBERT, AZ 85234-2328
(480) 892-5089
(480) 892-4236
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1915
AZ
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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