Organization
1-2-3 BREATHE FREE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL JONES SR. (PRESIDENT)
(623) 261-3564
Entity
Organization
Contact information
Practice address
10320 W MCDOWELL RD STE 3010, AVONDALE, AZ 85392-4867
(623) 535-4194
Mailing address
18587 W MINNEZONA AVE, GOODYEAR, AZ 85395-4001
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/05/2023
Last updated
12/05/2023
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