Organization
SIERRA ORTHODONTIC SERVICES, LTD
Active
Other names
Brigham Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
THY MINH LY DMD (EXECUTOR OF TRUST)
(480) 767-8810
Entity
Organization
Contact information
Practice address
9301 E SHEA BLVD STE 111, SCOTTSDALE, AZ 85260-6735
(480) 767-8810
Mailing address
9301 E SHEA BLVD STE 111, SCOTTSDALE, AZ 85260-6735
(480) 767-8810
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
02/21/2024
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