Organization
A PAUL SERRANO DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALBERT PAUL SERRANO DDS (OWNER/DDS)
(602) 274-7840
Entity
Organization
Contact information
Practice address
1515 E MISSOURI, STE 101, PHOENIX, AZ 85014-2443
(602) 274-7840
(602) 274-7956
Mailing address
1515 E MISSOURI, STE 101, PHOENIX, AZ 85014-2443
(602) 274-7840
(602) 274-7956
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D2814
AZ
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
D5543
AZ
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
08/15/2006
Last updated
12/02/2010
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