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1376380170
DENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC
PEORIA, AZ
NPI
1376380170
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Entity Type
Organization
Authorized Contact
GAYLON ZISSA
Director Of Provider Relations
405-945-8941
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2024-07-10
Last Update Date
2024-07-10
Business Address
DENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC
8850 W THUNDERBIRD RD
PEORIA, AZ 85381-4812
Phone number: 623-352-3123
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Mailing Address
DENTAL DEPOT OF 88TH & THUNDERBIRD, PLLC
2828 NW 30TH ST
OKLAHOMA CITY, OK 73112-7404
Phone number: 623-352-3123
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