Organization
DICKERSON ORTHODONTICS LLC
Active
Other names
Dickerson Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA-ROCHA (SR CREDENTIALING TEAM LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1200 W WARNER RD STE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Mailing address
1200 W WARNER RD STE 1, CHANDLER, AZ 85224-2758
(480) 963-2535
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
09/26/2024
Last updated
09/26/2024
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