Individual
DR. PHILLIP WAYNE MOORAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
13065 W MCDOWELL RD, SUITE B101, AVONDALE, AZ 85323-6439
(623) 882-1113
(623) 536-0285
Mailing address
13065 W MCDOWELL RD, SUITE B101, AVONDALE, AZ 85323-6439
(623) 882-1113
(623) 536-0285
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4710
AZ
Other
Enumeration date
04/13/2007
Last updated
07/08/2007
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