NPI | 1114022613 |
---|---|
Doing Business As | ADVANCED ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | BENJAMIN PATRICK LARRABEE Owner Doctor 480-357-4900 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: AZ D6671) |
Enumeration Date | 2006-09-13 |
Last Update Date | 2012-09-12 |