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1053602953
MARYLAND AVENUE PERIODONTICS, LLC
PHOENIX, AZ
NPI
1053602953
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Entity Type
Organization
Authorized Contact
JENNIFER WARNER
Office Manager
602-242-2588
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist Periodontics
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
MARYLAND AVENUE PERIODONTICS, LLC
6520 N 7TH AVE STE 5
PHOENIX, AZ 85013-1158
Phone number: 602-242-2588
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Mailing Address
MARYLAND AVENUE PERIODONTICS, LLC
6520 N 7TH AVE STE 5
PHOENIX, AZ 85013-1158
Phone number: 602-242-2588
Copy
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