Individual
PHILLIP LARECE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1700 E ELLIOT RD STE 8, TEMPE, AZ 85284-1631
(480) 674-6060
Mailing address
1700 E ELLIOT RD STE 8, TEMPE, AZ 85284-1631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D011396
AZ
Other
Enumeration date
08/31/2022
Last updated
09/01/2022
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