Hermosa Dental And Orthodontics Group Llc

LBN: Hermosa Dental And Orthodontics Group Llc
Hermosa Dental And Orthodontics Group Llc is an health care organization with primary practice located at 3415 W Glendale Ave 30, Phoenix AZ 85051-8386. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Hermosa Dental And Orthodontics Group Llc can be contacted via phone (602) 242-0550, or through Salim, Rasoul via phone (602) 242-0550.

Contact Information

Primary practice address
3415 W Glendale Ave 30 Phoenix AZ 85051-8386
Phone: (602) 242-0550
Fax: (602) 242-4965
Website:
Map and Directions
Authorized official contact:
Name: Salim, Rasoul
Phone: (602) 242-0550

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X D5067 Arizona
Dental Providers / Periodontics 1223P0300X D6876 Arizona
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X D8403 Arizona
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X D8369 Arizona

Profile Details

NPI number 1306277918
LBN Legal business name Hermosa Dental And Orthodontics Group Llc
DBA Doing business as
Authorized official Salim, Rasoul
Entity Organization
Organization subpart 1 No
Enumeration date Dec 6th, 2013
Last updated Dec 6th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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