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1154787778
ADVANCED DENTISTRYPLLC
SIERRA VISTA, AZ
NPI
1154787778
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Entity Type
Organization
Authorized Contact
KENT A HALES
Owner
520-458-9460
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D4943)
Enumeration Date
2016-01-12
Last Update Date
2016-01-12
Business Address
ADVANCED DENTISTRYPLLC
1236 E FRY BLVD
SIERRA VISTA, AZ 85635-2602
Phone number: 520-458-9460
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Mailing Address
ADVANCED DENTISTRYPLLC
1236 E FRY BLVD
SIERRA VISTA, AZ 85635-2602
Phone number: 520-458-9460
Copy
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