Greenway 40 LLC
Greenway 40 LLC is a Dentist in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2011.
- Licensed in
- AZ
- In the registry since
- 2011
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4022 E Greenway Rd Ste 13Phoenix, AZ 85032-4797
Phone: (602) 595-1115
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dentist (primary) | Taxonomy 122300000X · Licence AZ3740 (AZ) |
|---|---|
| Dentist | Taxonomy 122300000X · Licence AZ4044 (AZ) |
Record details
| NPI number | 1174810840 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Velasco — Co-Owner · (602) 595-1115 |
| Other names | Age Defying Dentistry, Phoenix |
| NPI enumerated | July 1, 2011 |
| Last updated in NPPES | August 2, 2012 |
| Mailing address | 4022 E Greenway Rd, Ste 13, Phoenix, AZ 85032-4799 |
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