Organization
DYSART DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRACY BRY THOMAS D.D.S. (OWNER)
(623) 935-0500
Entity
Organization
Contact information
Practice address
5220 N. DYSART RD., SUITE 160, LITCHFIELD PARK, AZ 85340
(623) 935-0500
(623) 535-3897
Mailing address
5220 N. DYSART RD., SUITE 160, LITCHFIELD PARK, AZ 85340
(623) 935-0500
(623) 535-3897
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6715
AZ
Other
Enumeration date
05/16/2007
Last updated
08/22/2020
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