Organization
DB DENTAL HOLDINGS, LLC
Active
Other names
Age-Defying Dentistry, QC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. VELASCO JR. DDS (OWNER/MANAGER)
(480) 545-8400
Entity
Organization
Contact information
Practice address
652 E WARNER RD, STE 101, GILBERT, AZ 85296-3071
(480) 545-8400
Mailing address
652 E WARNER RD, STE 101, GILBERT, AZ 85296-3071
(480) 545-8400
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
AZ3740
AZ
122300000X
Dentist
AZ4044
AZ
Other
Enumeration date
05/17/2010
Last updated
07/17/2012
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