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Organization

BRETON FAMILY DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JESSICA BRERETON PETERKIN DMD (CEO/PRESIDENT)
(623) 295-9720
Entity
Organization

Contact information

Practice address
59 E LEXINGTON AVE, PHOENIX, AZ 85012-2320
(623) 295-9720
Mailing address
PO BOX 2372, LITCHFIELD PARK, AZ 85340-2372
(623) 295-9720

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Enumeration date
04/01/2019
Last updated
04/01/2019
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