Organization
PHOENIX ORTHODONTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN ALLMENDINGER DDS (OWNER)
(602) 242-5741
Entity
Organization
Contact information
Practice address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
(602) 242-5742
Mailing address
6750 N 19TH AVE, PHOENIX, AZ 85015-1127
(602) 242-5741
(602) 242-5742
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D5273
NE
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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