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1497150999
GRACE PARK
SURPRISE, AZ
NPI
1497150999
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D009068)
Enumeration Date
2014-10-27
Last Update Date
2014-10-27
Business Address
Dr. GRACE PARK D.D.S
13869 W BELL RD
SURPRISE, AZ 85374-2468
Phone number: 623-584-4015
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Mailing Address
Dr. GRACE PARK D.D.S
14245 W BOCA RATON RD
SURPRISE, AZ 85379-8612
Phone number:
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