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Organization

PHOENIX ORTHODONTICS LLC

Active
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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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