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Organization

CROFT ORTHODONTICS PLLC

Active
Other names
Vistancia Orthodontics
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEVIN L CROFT DDS, MS (OWNER/ PROVIDER)
(623) 566-0800
Entity
Organization

Contact information

Practice address
9772 W YEARLING RD STE A1600, PEORIA, AZ 85383-1380
(623) 566-0800
(833) 330-2854
Mailing address
9772 W YEARLING RD STE A1600, PEORIA, AZ 85383-1380
(623) 566-0800
(623) 566-0860

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
7616
AZ
332B00000X
Durable Medical Equipment & Medical Supplies
332BC3200X
Customized Equipment (DME)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
162964
AZ
05
518939
AZ
Enumeration date
03/19/2010
Last updated
12/12/2024
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