94TH DRIVE, LLC

PEORIA, AZ
NPI1174769590
Entity TypeOrganization
Authorized ContactFAWNE E PRYOR
Insurance Manager
623-582-3902
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D6772)
Enumeration Date2009-01-07
Last Update Date2009-01-07
Business Address
94TH DRIVE, LLC
13660 N 94TH DR B-1
PEORIA, AZ 85381-4836
Phone number: 623-977-2551
Mailing Address
94TH DRIVE, LLC
13660 N 94TH DR B-1
PEORIA, AZ 85381-4836
Phone number: 623-977-2551
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