GREENWAY 40 LLC

PHOENIX, AZ
NPI1174810840
Doing Business AsAGE DEFYING DENTISTRY, PHOENIX
Entity TypeOrganization
Authorized ContactDAVID J VELASCO
Co Owner
602-595-1115
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  AZ3740)
Additional Taxonomies122300000X Dentist
(Licence: AZ  AZ4044)
Enumeration Date2011-07-01
Last Update Date2012-08-02
Business Address
GREENWAY 40 LLC
4022 E GREENWAY RD STE 13
PHOENIX, AZ 85032-4797
Phone number: 602-595-1115
Mailing Address
GREENWAY 40 LLC
4022 E GREENWAY RD STE 13
PHOENIX, AZ 85032-4799
Phone number: 602-595-1115