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1427897701
COUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC.
ROSWELL, NM
NPI
1427897701
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Entity Type
Organization
Authorized Contact
SANEAL NARENDRA MISTRY
Owner
505-850-6700
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
Enumeration Date
2024-05-24
Last Update Date
2024-05-24
Business Address
COUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC.
317 W COUNTRY CLUB RD
ROSWELL, NM 88201-5892
Phone number: 505-850-6700
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Mailing Address
COUNTRY CLUB DENTAL, INC. / DBA: SUNNY SMILE DENTAL, INC.
9 CHARING CROSS CT
ROSWELL, NM 88201-0408
Phone number: 505-850-6700
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