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1144832940
KINGMAN DENTAL PROFESSIONALS, LLC
KINGMAN, AZ
NPI
1144832940
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Entity Type
Organization
Authorized Contact
JOHN LUNDGREEN
Member/CEO
480-295-9234
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center Dental
Enumeration Date
2020-08-21
Last Update Date
2020-08-21
Business Address
KINGMAN DENTAL PROFESSIONALS, LLC
3775 N STOCKTON HILL RD
KINGMAN, AZ 86409-3219
Phone number: 480-295-9234
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Mailing Address
KINGMAN DENTAL PROFESSIONALS, LLC
7205 E SOUTHERN AVE STE A-122
MESA, AZ 85209-2790
Phone number: 480-295-9234
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