CENTRAL AVENUE SPECIALTY, PLLC.

PHOENIX, AZ
NPI1104257963
Entity TypeOrganization
Authorized ContactANTHONY E HERRO
Owner
602-266-1776
Organization Subpart ?No
Primary Taxonomy1223E0200X Dentist, Endodontics
(Licence: AZ  D07259)
Additional Taxonomies1223P0700X Dentist, Prosthodontics
(Licence: AZ  D008106)
1223P0221X Dentist, Pediatric Dentistry
(Licence: AZ  D008035)
Enumeration Date2013-12-04
Last Update Date2013-12-04
Business Address
CENTRAL AVENUE SPECIALTY, PLLC.
5133 N CENTRAL AVE SUITE 200
PHOENIX, AZ 85012-1438
Phone number: 602-266-1776
Mailing Address
CENTRAL AVENUE SPECIALTY, PLLC.
5133 N CENTRAL AVE SUITE 102
PHOENIX, AZ 85012-1438
Phone number: 602-266-1776