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1942539671
HOME DENTAL SERVICES, LLC
PHOENIX, AZ
NPI
1942539671
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Entity Type
Organization
Authorized Contact
KENNETH KUCERA
President
303-526-7739
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
Enumeration Date
2009-12-08
Last Update Date
2009-12-08
Business Address
HOME DENTAL SERVICES, LLC
2942 N 24TH ST #114
PHOENIX, AZ 85016-7844
Phone number: 303-526-7739
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Mailing Address
HOME DENTAL SERVICES, LLC
2942 N 24TH ST #114
PHOENIX, AZ 85016-7844
Phone number: 303-526-7739
Copy
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