Organization
DA VINCI DENTAL PHOENIX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN JOSEPH DEAVILA D.D.S. (CO-OWNER)
(602) 336-1111
Entity
Organization
Contact information
Practice address
5336 N 7TH AVE, PHOENIX, AZ 85013-1903
(602) 336-1111
Mailing address
5336 N 7TH AVE, PHOENIX, AZ 85013-1903
(602) 336-1111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
08/26/2011
Last updated
08/26/2011
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