Organization
NSN DENTAL, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS NETZEL DMD (PRESIDENT)
(623) 910-2767
Entity
Organization
Contact information
Practice address
10750 W MCDOWELL RD STE A250, AVONDALE, AZ 85392-5979
(623) 907-9400
(623) 907-9405
Mailing address
6243 W KRISTAL WAY, GLENDALE, AZ 85308-7661
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164860755
ENDODONTIST
—
Enumeration date
10/29/2020
Last updated
10/29/2020
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