Individual
BENJAMIN CHIOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4803 E RAY RD, P002C, PHOENIX, AZ 85044-6496
(480) 755-4455
Mailing address
479 E VINEDO LN, TEMPE, AZ 85284-1459
(480) 246-6849
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D009583
AZ
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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