Individual
CARLOS LLANES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4921 E BELL RD, SUITE 206, SCOTTSDALE, AZ 85254-6002
(602) 404-7700
(602) 404-7712
Mailing address
5025 N CENTRAL AVE, # 403, PHOENIX, AZ 85012-1520
(562) 212-0810
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D5461
AZ
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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