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1609079482
BRYAN JOSEPH DEAVILA
PHOENIX, AZ
NPI
1609079482
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ 6060)
Enumeration Date
2007-06-07
Last Update Date
2023-08-23
Business Address
BRYAN JOSEPH DEAVILA d.d.s.
1422 W CAMELBACK RD
PHOENIX, AZ 85013-2177
Phone number: 602-336-1111
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Mailing Address
BRYAN JOSEPH DEAVILA d.d.s.
1422 W CAMELBACK RD
PHOENIX, AZ 85013-2177
Phone number: 602-336-1111
Copy
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