Organization
DANTAL DENTAL TWO CORPORATION
Active
Other names
DENTAL BROTHERS OF PHOENIX
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAL S GAFNI D.M.D. (PRESIDENT)
(602) 432-4250
Entity
Organization
Contact information
Practice address
12414 N 28TH DR, SUITE 1, PHOENIX, AZ 85029-2488
(602) 993-0670
Mailing address
12414 N 28TH DR, SUITE 1, PHOENIX, AZ 85029-2488
(602) 993-0670
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008536
AZ
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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