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1275602732
THEODORE JOSEPH JENAL
COTTONWOOD, AZ
NPI
1275602732
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: AZ 06321)
Additional Taxonomies
122300000X Dentist
(Licence: NY 042008)
Enumeration Date
2006-11-07
Last Update Date
2015-05-15
Business Address
Dr. THEODORE JOSEPH JENAL DDS
517 S MAIN ST
COTTONWOOD, AZ 86326-3902
Phone number: 928-634-8000
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Mailing Address
Dr. THEODORE JOSEPH JENAL DDS
517 S MAIN ST
COTTONWOOD, AZ 86326-3902
Phone number: 928-634-8000
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