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1710278650
GP DENTAL PC
PHOENIX, AZ
NPI
1710278650
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Entity Type
Organization
Authorized Contact
GOLBARG POURKHOMAMI
Dentist
602-944-7199
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D6008)
Enumeration Date
2011-04-26
Last Update Date
2011-04-26
Business Address
GP DENTAL PC
10240 N 31ST AVE STE 100
PHOENIX, AZ 85051-9564
Phone number: 602-944-7199
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Mailing Address
GP DENTAL PC
10240 N 31ST AVE STE 100
PHOENIX, AZ 85051-9564
Phone number: 602-944-7199
Copy
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