| NPI | 1184093767 |
|---|---|
| Doing Business As | DICKERSON ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | TODD EVAN DICKERSON Owner 480-963-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist Orthodontics and Dentofacial Orthopedics (Licence: AZ D4423) |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2015-09-24 |