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1851931828
LASTING SMILES OF ANTHEM LLC
ANTHEM, AZ
NPI
1851931828
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Entity Type
Organization
Authorized Contact
DARREN L FLOWERS
Owner
623-551-8000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2020-01-08
Last Update Date
2020-01-08
Business Address
LASTING SMILES OF ANTHEM LLC
3618 W ANTHEM WAY STE D132
ANTHEM, AZ 85086-0475
Phone number: 623-551-8000
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Mailing Address
LASTING SMILES OF ANTHEM LLC
3618 W ANTHEM WAY STE D132
ANTHEM, AZ 85086-0475
Phone number: 623-551-8000
Copy
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