Organization
DENTAL SPECIALTY ASSOCIATES
Active
Organization
DENTAL SPECIALTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN A LILIEN DDS (OWNER)
(480) 633-9977
Entity
Organization
Contact information
Practice address
2730 S VAL VISTA DR, SUITE 164, GILBERT, AZ 85295-1675
(480) 633-9977
(480) 633-3730
Mailing address
2730 S VAL VISTA DR, SUITE 164, GILBERT, AZ 85295-1675
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
D3985
AZ
Other
Enumeration date
07/08/2008
Last updated
07/08/2008
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