Organization
DICKERSON ORTHODONTICS AND PEDIATRIC DENTISTRY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD DICKERSON DDS (OWNER)
(602) 799-4093
Entity
Organization
Contact information
Practice address
1200 W WARNER RD STE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Mailing address
1200 W WARNER RD STE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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