Organization
GENERAL DENTISTRY 4 KIDS-GLENDALE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ROBERTS DMD (OWNER/DENTIST)
(602) 888-7844
Entity
Organization
Contact information
Practice address
3554 W GLENDALE AVE, PHOENIX, AZ 85051-8358
(602) 888-7844
(602) 841-0426
Mailing address
3554 W GLENDALE AVE, PHOENIX, AZ 85051-8358
(602) 888-7844
(602) 841-0426
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4964
AZ
Other
Enumeration date
04/24/2013
Last updated
02/19/2016
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