Organization
WEST VALLEY BRACES
Active
Other names
West Valley Pediatric Dentistry & Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
TERRY BARNES (DIRECTOR OF OPERSATIONS)
(623) 935-9873
Entity
Organization
Contact information
Practice address
14100 N 83RD AVE STE 280, PEORIA, AZ 85381-5660
(623) 935-9873
Mailing address
14100 N 83RD AVE STE 280, PEORIA, AZ 85381-5660
(623) 935-9873
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
12/13/2019
Last updated
12/13/2019
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