Organization
DESERT SUN ENDODONTICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON R BOOTH D.M.D (OWNER / PARTNER)
(602) 354-3944
Entity
Organization
Contact information
Practice address
4025 W BELL RD, SUITE #11, PHOENIX, AZ 85053-2750
(602) 354-3944
Mailing address
4025 W BELL RD, SUITE #11, PHOENIX, AZ 85053-2750
(602) 354-3944
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
D5542
AZ
1223E0200X
Endodontics
D5887
AZ
Other
Enumeration date
03/14/2008
Last updated
03/14/2008
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