Organization
BRETT A DAMERON DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT A DAMERON DDS (OWNER/DENTIST)
(602) 992-1384
Entity
Organization
Contact information
Practice address
12320 N 32ND ST, SUITE #1, PHOENIX, AZ 85032-7154
(602) 992-1384
(602) 992-6104
Mailing address
12320 N. 32ND ST, #1, PHOENIX, AZ 85032
(602) 992-1384
(602) 992-6104
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4800
AZ
Other
Enumeration date
08/31/2016
Last updated
08/31/2016
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