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Organization

ARIZONA DENTAL AND ORTHODONTICS PLLC

Active
Other names
Diazo Family Dental and Braces
Organization subpart
No

Provider details

NPI number
Authorized official
LUCAS BRIMLEY (OWNER/MEMBER)
(623) 845-7400
Entity
Organization

Contact information

Practice address
6544 W THOMAS RD STE 8, PHOENIX, AZ 85033-5739
(623) 845-7400
Mailing address
6544 W THOMAS RD STE 8, PHOENIX, AZ 85033-5739
(623) 845-7400

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
08/19/2024
Last updated
08/19/2024
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