Individual
DR. BRET STANDAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
822 E UNION HILLS DR, SUITE D-6, PHOENIX, AZ 85024-8403
(623) 582-6789
Mailing address
822 E UNION HILLS DR, SUITE D-6, PHOENIX, AZ 85024-8403
(623) 582-6789
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8949
AZ
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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