Organization
TODD E DICKERSON, DDS
Active
Other names
Dickerson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD EVAN DICKERSON D,D.S., M.S., P.C. (OWNER)
(480) 963-2535
Entity
Organization
Contact information
Practice address
1200 W WARNER RD, SUITE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Mailing address
1200 W WARNER RD, SUITE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D4423
AZ
Other
Enumeration date
09/24/2015
Last updated
09/24/2015
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