Organization
AZ DENTAL, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN NGOC TONG DDS (CEO AND OWNER)
(602) 455-0505
Entity
Organization
Contact information
Practice address
515 N 35TH AVE STE 122, PHOENIX, AZ 85009-3339
(602) 455-0505
Mailing address
515 N 35TH AVE STE 122, PHOENIX, AZ 85009-3339
(602) 455-0505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D6451
AZ
Other
Enumeration date
08/21/2013
Last updated
08/21/2013
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