Organization
ANTHONY R BROCK DMD PLLC
Active
Other names
Stetson Village Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTHONY R BROCK DMD (MANAGER)
(623) 533-4895
Entity
Organization
Contact information
Practice address
3870 W HAPPY VALLEY RD, SUITE #154, GLENDALE, AZ 85310-3295
(623) 533-4895
(623) 533-6246
Mailing address
3870 W HAPPY VALLEY RD, SUITE #154, GLENDALE, AZ 85310-3295
(623) 533-4895
(623) 533-6246
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8885
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1083976732
NPI#
AZ
Enumeration date
08/04/2016
Last updated
08/04/2016
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