| NPI | 1154750156 |
|---|---|
| Doing Business As | DOWNTOWN PHOENIX DENTAL |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN MARK BERSCHLER Dentist/Owner 602-626-7952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ 7500) |
| Additional Taxonomies | 122300000X Dentist (Licence: AZ 5144) |
| 1223E0200X Dentist Endodontics (Licence: AZ 8174) | |
| 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ 8832) | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |