Individual
DR. TIM R AVEDOVECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4035 E INDIAN SCHOOL RD, PHOENIX, AZ 85018-5219
(602) 321-2414
(480) 497-5162
Mailing address
2126 E ENID AVE, MESA, AZ 85204-4512
(602) 321-2414
(480) 497-5162
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
1598
AZ
Other
Enumeration date
01/22/2007
Last updated
11/04/2011
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