BRYAN JOSEPH DEAVILA

PHOENIX, AZ
NPI1609079482
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: AZ  6060)
Enumeration Date2007-06-07
Last Update Date2023-08-23
Business Address
BRYAN JOSEPH DEAVILA d.d.s.
1422 W CAMELBACK RD
PHOENIX, AZ 85013-2177
Phone number: 602-336-1111
Mailing Address
BRYAN JOSEPH DEAVILA d.d.s.
1422 W CAMELBACK RD
PHOENIX, AZ 85013-2177
Phone number: 602-336-1111