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1952786170
SHAWN KEVIN OTTESON
PHOENIX, AZ
NPI
1952786170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ D009292)
Enumeration Date
2015-07-29
Last Update Date
2015-07-29
Business Address
Dr. SHAWN KEVIN OTTESON DMD
4501 N 7TH ST
PHOENIX, AZ 85014-3804
Phone number: 602-845-5730
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Mailing Address
Dr. SHAWN KEVIN OTTESON DMD
4501 N 7TH ST
PHOENIX, AZ 85014-3804
Phone number: 602-845-5730
Copy
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