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1891875498
PHOENIX PEDIATRIC DENTAL, LLC
PHOENIX, AZ
NPI
1891875498
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Entity Type
Organization
Authorized Contact
LUZ PACHECO
Business Manager
602-242-5741
Organization Subpart ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
Enumeration Date
2006-10-17
Last Update Date
2014-12-23
Business Address
PHOENIX PEDIATRIC DENTAL, LLC
6750 N 19TH AVE
PHOENIX, AZ 85015-1127
Phone number: 602-242-5741
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Mailing Address
PHOENIX PEDIATRIC DENTAL, LLC
6750 N 19TH AVE
PHOENIX, AZ 85015-1127
Phone number: 602-242-5741
Copy
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