Organization
BRENT D. PULLEY DMD, LTD
Active
Other names
Desert Foothills Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD M FLORES BS (OFFICE MANAGER)
(602) 743-3650
Entity
Organization
Contact information
Practice address
1442 E CHANDLER BLVD STE 110, PHOENIX, AZ 85048-6265
(480) 460-1911
Mailing address
1442 E CHANDLER BLVD STE 110, PHOENIX, AZ 85048-6265
(480) 460-1911
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1619073699
NPI INDIVIDUAL
—
01
—
1922488113
ASSOCIATE'S NPI
—
Enumeration date
11/28/2018
Last updated
11/28/2018
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