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1952636573
SOUTH CENTRAL DENTAL LLC
PHOENIX, AZ
NPI
1952636573
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Entity Type
Organization
Authorized Contact
JUSTIN CHURCH
Dentist
480-206-0139
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D7892)
Enumeration Date
2009-10-15
Last Update Date
2009-10-15
Business Address
SOUTH CENTRAL DENTAL LLC
6831 S CENTRAL AVE
PHOENIX, AZ 85042-5420
Phone number: 602-268-8881
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Mailing Address
SOUTH CENTRAL DENTAL LLC
6831 S CENTRAL AVE
PHOENIX, AZ 85042-5420
Phone number: 602-268-8881
Copy
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