Organization
DA VINCI DENTAL GROUP
Active
Other names
Da Vinci Dental Phoenix
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RACHEL R DEAVILA D.D.S. (DENTIST/OWNER)
(602) 336-1111
Entity
Organization
Contact information
Practice address
1422 W CAMELBACK RD, PHOENIX, AZ 85013-2177
(602) 336-1111
(602) 249-3653
Mailing address
1422 W CAMELBACK RD, PHOENIX, AZ 85013-2177
(602) 336-1111
(602) 249-3653
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5998
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
952673
—
AZ
Enumeration date
04/12/2017
Last updated
04/12/2017
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