Individual
DR. TODD EVAN DICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MS PC
Contact information
Practice address
1200 W WARNER RD, STE 1, CHANDLER, AZ 85224
(480) 963-2535
(480) 814-1334
Mailing address
1200 W WARNER RD, STE 1, CHANDLER, AZ 85224
(480) 963-2535
(480) 814-1334
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D4423
AZ
Other
Enumeration date
03/13/2007
Last updated
07/08/2007
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