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Brivadental Llc
Clinic/Center in Peoria, Arizona
NPI 1043645765

Brivadental Llc is a Clinic/Center based in Peoria, AZ. Brivadental Llc practices in Peoria, AZ. The NPI Number for Brivadental Llc is 1043645765 and holds a License No. D07658 (Arizona).

The current practice location address for Brivadental Llc is 13695 N 75Th Ave, Peoria, AZ and can be reached out via phone at 602-439-1101 and via fax at 602-789-1653. You can also correspond with Brivadental Llc through the mailing address at 13695 N 75TH AVE, PEORIA, AZ - 85381-6098 (mailing address contact number: 602-439-1101).

Location: 13695 N 75Th Ave, Peoria, AZ, 85381-6098
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1043645765
Provider Name
Brivadental Llc
Credential
Provider Entity Type
Organization
Address
13695 N 75Th Ave, Peoria, AZ, 85381-6098
Phone Number
602-439-1101
Fax Number
602-789-1653
Provider Enumeration Date
09/12/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
13695 N 75Th Ave
City
Peoria
State
Arizona
Zip
85381-6098
Phone Number
602-439-1101
Fax Number
602-789-1653
person
Provider Business Mailing Address Details
Address
13695 N 75Th Ave
City
Peoria
State
Arizona
Zip
85381-6098
Phone Number
602-439-1101
Fax Number
602-789-1653
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
D07658 (Arizona)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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