Individual
DR. DANIEL NATHAN INDECH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4045 E BELL RD STE 159, PHOENIX, AZ 85032-2240
(602) 867-9844
Mailing address
4465 E PARADISE VILLAGE PKWY S APT 1133, PHOENIX, AZ 85032-7763
(602) 206-6170
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
D4725
AZ
Other
Enumeration date
04/19/2007
Last updated
07/08/2007
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