Organization
SOUZA DDS LLC
Active
Other names
North Canyon Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SERGIO SOUZA DDS (DDS)
(623) 582-8384
Entity
Organization
Contact information
Practice address
17215 N 72ND DR STE A100, GLENDALE, AZ 85308-8557
(602) 363-8715
Mailing address
17215 N 72ND DR STE A100, GLENDALE, AZ 85308-8557
(602) 363-8715
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
01/16/2024
Last updated
01/16/2024
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