Organization
AHWATUKEE ORTHODONTIC ASSOCIATES INC
Active
Organization
AHWATUKEE ORTHODONTIC ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SULIEMAN KASSISIEH DDS, MS (PRESIDENT)
(480) 948-4010
Entity
Organization
Contact information
Practice address
16611 S. 40TH STREET, SUITE 110, PHOENIX, AZ 85048
(480) 948-4010
Mailing address
9377 E. BELL RD, SUITE 185, SCOTTSDALE, AZ 85260
(480) 948-4010
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
04/17/2019
Last updated
04/17/2019
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