Organization
PHOENIX ENDODONTIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY JOSEPH CORE D.D.S (OWNER)
(602) 375-8063
Entity
Organization
Contact information
Practice address
13821 N 35TH DR STE 2, PHOENIX, AZ 85053-5541
(602) 375-8063
(602) 863-3412
Mailing address
13821 N. 35TH DRIVE SUITE 2, PHOENIX, AZ 85053
(602) 375-8063
(602) 863-3412
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2928
AZ
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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