Individual
DR. BRETT MICHAEL QUACKENBUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
1534 E RAY RD, #121, GILBERT, AZ 85296-4429
(480) 963-8373
(480) 963-4489
Mailing address
1534 E RAY RD, #121, GILBERT, AZ 85296-4429
(480) 963-8373
(480) 963-4489
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D4963
AZ
Other
Enumeration date
06/23/2006
Last updated
07/08/2007
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