NBA DENTAL GROUP, PC

PHOENIX, AZ
NPI1740468990
Entity TypeOrganization
Authorized ContactFAWNE E PRYOR
Ins Mgr
623-536-2040
Organization Subpart ?No
Primary Taxonomy122300000X Dentist
(Licence: AZ  D5981)
Enumeration Date2008-02-08
Last Update Date2008-02-08
Business Address
NBA DENTAL GROUP, PC
4102 N 24TH ST B-2
PHOENIX, AZ 85016-6283
Phone number: 602-956-2024
Mailing Address
NBA DENTAL GROUP, PC
4102 N 24TH ST B-2
PHOENIX, AZ 85016-6283
Phone number: 602-956-2024
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