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Organization

PAYSON ORTHODONTICS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KATIE MEREDITH (TREATMENT COORDINATOR)
(928) 472-7223
Entity
Organization

Contact information

Practice address
902 S BEELINE HWY, PAYSON, AZ 85541
(928) 472-7223
Mailing address
902 S BEELINE HWY, PAYSON, AZ 85541-6123

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D008610
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
848168
AZ
Enumeration date
03/07/2018
Last updated
03/07/2018
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