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1225442213
BUENHOMBRE DENTAL PLLC
GOODYEAR, AZ
NPI
1225442213
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Entity Type
Organization
Authorized Contact
CALEB GRANT GOODMAN
Member/Manager
520-429-6957
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D008966)
Enumeration Date
2014-06-17
Last Update Date
2014-06-17
Business Address
BUENHOMBRE DENTAL PLLC
15581 W MACKENZIE DR
GOODYEAR, AZ 85395-7779
Phone number: 520-429-6957
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Mailing Address
BUENHOMBRE DENTAL PLLC
15581 W MACKENZIE DR
GOODYEAR, AZ 85395-7779
Phone number:
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