Individual
ALEXANDER CLARK BRIMLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4317 E MCDOWELL RD, PHOENIX, AZ 85008-4501
(602) 633-0405
Mailing address
10124 E PLATA AVE, MESA, AZ 85212-2369
(480) 404-3118
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
PD0025
AZ
Other
Enumeration date
07/12/2020
Last updated
07/13/2020
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