Individual
DANIEL PICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 W WATKINS RD, PHOENIX, AZ 85003
(602) 261-6868
Mailing address
2123 N 30TH ST, MESA, AZ 85213-3179
(480) 332-8953
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009779
AZ
Other
Enumeration date
02/26/2017
Last updated
06/04/2018
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