Organization
SARPOTDAR ORTHODONTICS, PLLC
Active
Other names
Icon Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW P SARPOTDAR D.D.S., M.S. (ORTHODONTIST)
(858) 663-4694
Entity
Organization
Contact information
Practice address
13775 N. LITCHFIELD RD, SUITE 108, SURPRISE, AZ 85379
(858) 663-4694
Mailing address
20435 N 7TH ST, #2019, PHOENIX, AZ 85024-6024
(858) 663-4694
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008698
AZ
Other
Enumeration date
10/22/2014
Last updated
10/22/2014
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