Dr. Bryce E Slack
Dr. Bryce E Slack is a General Practice Dentistry in Glendale, Arizona. Practices as a sole proprietor. Licensed in Arizona and Oklahoma.
- Licensed in
- AZ, OK
- In the registry since
- 2017
- Specialties on file
- 2
Practice location Address checks out
5400 W Northern Ave Ste 202Glendale, AZ 85301-1591
Phone: (623) 500-5793
Fax: (623) 321-1030
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Specialties & licences
| General Practice Dentistry (primary) | Taxonomy 1223G0001X · Licence D010940 (AZ) |
|---|---|
| General Practice Dentistry | Taxonomy 1223G0001X · Licence 6979 (OK) |
Record details
| NPI number | 1013438100 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 29, 2017 |
| Last updated in NPPES | February 20, 2025 |
| Certification date | February 20, 2025 |
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