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1659641306
HOME ANCILLARY SERVICES
PHOENIX, AZ
NPI
1659641306
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Entity Type
Organization
Authorized Contact
KENNETH C KUCERA
Executive Director
303-526-7739
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2012-01-11
Last Update Date
2012-01-11
Business Address
HOME ANCILLARY SERVICES
2942 N 24TH ST STE 114-538
PHOENIX, AZ 85016-7844
Phone number: 303-650-5800
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Mailing Address
HOME ANCILLARY SERVICES
2942 N 24TH ST STE 114-538
PHOENIX, AZ 85016-7844
Phone number: 303-650-5800
Copy
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