institution
Dr. Leonard Bafaloukos D.d.s.
Dental Clinic/Center in Phoenix, Arizona
NPI 1902000656

Dr. Leonard Bafaloukos D.d.s. is a Dental Clinic/Center based in Phoenix, AZ and is specialized in Dental. Dr. Leonard Bafaloukos D.d.s. practices in Phoenix, AZ. The NPI Number for Dr. Leonard Bafaloukos D.d.s. is 1902000656 and holds a License No. 1523 (Arizona).

The current practice location address for Dr. Leonard Bafaloukos D.d.s. is 3902 W Camelback Rd, Phoenix, AZ and can be reached out via phone at 602-841-5473 and via fax at 602-841-8640. You can also correspond with Dr. Leonard Bafaloukos D.d.s. through the mailing address at 3902 W CAMELBACK RD, PHOENIX, AZ - 85019-5824 (mailing address contact number: 602-841-5473).

Location: 3902 W Camelback Rd, Phoenix, AZ, 85019-5824
institution
Provider Profile Details
NPI Number
1902000656
Provider Name
Dr. Leonard Bafaloukos D.d.s.
Credential
Provider Entity Type
Organization
Address
3902 W Camelback Rd, Phoenix, AZ, 85019-5824
Phone Number
602-841-5473
Fax Number
602-841-8640
Provider Enumeration Date
06/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
803093 01 PA UNITED CONCORDIA
AZ0493590 01 AZ BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
3902 W Camelback Rd
City
State
Zip
85019-5824
Phone Number
602-841-5473
Fax Number
602-841-8640
person
Provider Business Mailing Address Details
Address
3902 W Camelback Rd
City
State
Zip
85019-5824
Phone Number
602-841-5473
Fax Number
602-841-8640
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
1523 (Arizona)
Definition
Definition to come...
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