Individual
DR. COLLIN NOBU ITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4909 E CHANDLER BLVD, #501, PHOENIX, AZ 85048-0863
(480) 785-9191
(480) 785-9197
Mailing address
4909 E CHANDLER BLVD, #501, PHOENIX, AZ 85048-0863
(480) 785-9191
(480) 785-9197
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D5310
AZ
Other
Enumeration date
01/25/2007
Last updated
10/25/2007
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