Organization
BPLARRABEE INCORPORATED
Active
Other names
Advanced Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN PATRICK LARRABEE D.D.S, M.S. (OWNER DOCTOR)
(480) 357-4900
Entity
Organization
Contact information
Practice address
1810 S CRISMON RD, SUITE 183, MESA, AZ 85209-3717
(480) 357-4900
(480) 357-4904
Mailing address
1810 S CRISMON RD, SUITE 183, MESA, AZ 85209-3717
(480) 357-4900
(480) 357-4904
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D6671
AZ
Other
Enumeration date
09/13/2006
Last updated
09/12/2012
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