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1104539303
GOOD LIFE DENTAL
QUEEN CREEK, AZ
NPI
1104539303
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Entity Type
Organization
Authorized Contact
MARVIN BLANE JACKSON
Owner/Dentist
435-637-2100
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2023-01-03
Last Update Date
2023-01-03
Business Address
GOOD LIFE DENTAL
20061 E RITTENHOUSE RD
QUEEN CREEK, AZ 85142-9715
Phone number: 435-637-2100
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Mailing Address
GOOD LIFE DENTAL
250 N FAIRGROUNDS RD STE 1
PRICE, UT 84501-4201
Phone number:
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