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1063110013
PHOENIX VALLEY DENTAL LLC
PHOENIX, AZ
NPI
1063110013
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Entity Type
Organization
Authorized Contact
BRANDT HANSEN
Dentist
480-622-8539
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-02-20
Last Update Date
2023-02-20
Business Address
PHOENIX VALLEY DENTAL LLC
2715 W NORTHERN AVE STE 101
PHOENIX, AZ 85051-6641
Phone number: 602-864-5007
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Mailing Address
PHOENIX VALLEY DENTAL LLC
2715 W NORTHERN AVE STE 101
PHOENIX, AZ 85051-6641
Phone number: 602-864-5007
Copy
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