Organization
SURPRISE ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE NORRIS (OFFICE MANAGER)
(623) 376-7400
Entity
Organization
Contact information
Practice address
15294 W BROOKSIDE LN, SUITE 100, SURPRISE, AZ 85374-3999
(623) 376-7400
(623) 376-7489
Mailing address
15294 W BROOKSIDE LN, SUITE 100, SURPRISE, AZ 85374-3999
(623) 376-7400
(623) 376-7489
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
1005639
AZ
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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