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1962721001
AGE DEFYING DENTISTRY
QUEEN CREEK, AZ
NPI
1962721001
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Entity Type
Organization
Authorized Contact
DAVID J VELASCO
Manager
480-840-9200
Organization Subpart ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ az4044)
Enumeration Date
2010-05-28
Last Update Date
2010-05-28
Business Address
AGE DEFYING DENTISTRY
21321 EAST OCOTILLO RD BLDG M, STE 130
QUEEN CREEK, AZ 85142
Phone number: 480-840-9200
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Mailing Address
AGE DEFYING DENTISTRY
21321 EAST OCOTILLO RD BLDG M, STE 130
QUEEN CREEK, AZ 85142
Phone number: 480-840-9200
Copy
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