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1083182315
DENTAL HOME, LLC
PHOENIX, AZ
NPI
1083182315
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Entity Type
Organization
Authorized Contact
MICHAEL R HULL
Owner
602-615-0651
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2018-11-05
Last Update Date
2018-11-05
Business Address
DENTAL HOME, LLC
720 E THUNDERBIRD RD STE 2
PHOENIX, AZ 85022-5396
Phone number: 602-863-3000
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Mailing Address
DENTAL HOME, LLC
13821 N MOON DR
PHOENIX, AZ 85023-7120
Phone number: 602-615-0651
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