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1891444527
HAVASU DENTAL CENTER PLLC
LAKE HAVASU CITY, AZ
NPI
1891444527
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Entity Type
Organization
Authorized Contact
TERA NIEDENS
Accountant
623-289-2616
Organization Subpart ?
No
Primary Taxonomy
261QD0000X Clinic/Center, Dental
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
HAVASU DENTAL CENTER PLLC
2872 JAMAICA BLVD S
LAKE HAVASU CITY, AZ 86406-7707
Phone number: 928-733-6199
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Mailing Address
HAVASU DENTAL CENTER PLLC
34225 N 27TH DR STE 241
PHOENIX, AZ 85085-6091
Phone number: 623-289-2616
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