NPI 1003479882

Purely Dental Surgery LLC

Organisation Dentist Phoenix, AZ

Practice location

Address: 12320 N 32nd St STE 2, Phoenix, AZ 85032-7154
Phone: (602) 354-5356

Authorised official

Name: Brent L Woodmansee
Title: Managing Partner
Phone: (602) 799-2251

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X

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Registry record

NPI: 1003479882
Entity type: Organization
NPI issued: 17 Apr 2019
Record last updated: 17 Apr 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.