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1720141070
GARY WAYNE EDGAR
SIERRA VISTA, AZ
NPI
1720141070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ AZ2261)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
Dr. GARY WAYNE EDGAR D.D.S.
1989 FRONTAGE RD
SIERRA VISTA, AZ 85635-4698
Phone number: 858-547-2564
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Mailing Address
Dr. GARY WAYNE EDGAR D.D.S.
1989 FRONTAGE RD
SIERRA VISTA, AZ 85635-4698
Phone number: 858-547-2564
Copy
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