Individual
DR. THOMAS SCOTT DURISEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
6520 N 7TH AVE, SUITE #1, PHOENIX, AZ 85013-1158
(602) 246-9013
(602) 249-7460
Mailing address
6520 N 7TH AVE, SUITE #1, PHOENIX, AZ 85013-1158
(602) 246-9013
(602) 249-7460
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4777
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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