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1922754662
BULLHEAD CITY DENTISTRY LLC
BULLHEAD CITY, AZ
NPI
1922754662
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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
2022-02-22
Last Update Date
2022-02-22
Business Address
BULLHEAD CITY DENTISTRY LLC
2600 SILVER CREEK RD
BULLHEAD CITY, AZ 86442-8337
Phone number: 623-289-2580
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Mailing Address
BULLHEAD CITY DENTISTRY LLC
34225 N 27TH DR STE 241
PHOENIX, AZ 85085-6091
Phone number: 623-289-2616
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