| Doctor Name: | MOLLY BREMEN |
| NPI Number: | 1043507890 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | DDS |
| License Number: | D008921 |
| Business Practice Address: | 14425 W Mcdowell Rd F102 Goodyear, AZ - 853952516 |
| Business Phone Number: | 6235360079 |
| Business Fax Number: | 6235355176 |
| Mailing Address: | 14425 W Mcdowell Rd, F102 GOODYEAR |
| State: | AZ |
| Postal Code: | 853952516 |
| Phone Number: | 6235360079 |
| Fax Number: | 6235355176 |
| NPI Enumeration Date: | 06/30/2011 |
| NPI Last Update Date: | 06/03/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1223P0221X |
| License Number: | D008921 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AZ |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dentist |
| Taxonomy Specialization: | Pediatric Dentistry |
| Taxonomy Definition: | An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |