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1457900656
EAST VALLEY IMPLANT AND PERIODONTAL PLLC
MESA, AZ
NPI
1457900656
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Entity Type
Organization
Authorized Contact
MIKE COLE
VP Insurance Plan Management
941-955-3150
Organization Subpart ?
No
Primary Taxonomy
1223P0300X Dentist, Periodontics
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
EAST VALLEY IMPLANT AND PERIODONTAL PLLC
3048 E BASELINE RD STE 112
MESA, AZ 85204-7287
Phone number: 480-376-2848
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Mailing Address
EAST VALLEY IMPLANT AND PERIODONTAL PLLC
8952 E DESERT COVE AVE # D101
SCOTTSDALE, AZ 85260-6775
Phone number: 480-376-2848
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