STATE 48 DENTAL PLLC

GLENDALE, AZ
NPI1437732054
Entity TypeOrganization
Authorized ContactBRIAN TRUONG
Principal
602-312-1348
Organization Subpart ?No
Primary Taxonomy261QD0000X Clinic/Center, Dental
Enumeration Date2021-05-02
Last Update Date2021-05-02
Business Address
STATE 48 DENTAL PLLC
5122 N 95TH AVE STE A100
GLENDALE, AZ 85305-3044
Phone number: 602-312-1348
Mailing Address
STATE 48 DENTAL PLLC
5122 N 95TH AVE STE A100
GLENDALE, AZ 85305-3044
Phone number: 602-312-1348
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