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Organization
DENTISTRY AT 35TH AVENU
Active
Organization
DENTISTRY AT 35TH AVENU
Active
Other names
DBA Floss Dental
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN VAN DDS (OWNER)
(623) 581-5532
Entity
Organization
Contact information
Practice address
18635 N 35TH AVENUE, PHOENIX, AZ 85027
(623) 581-5532
(623) 236-9360
Mailing address
18635 N 35TH AVENUE, PHOENIX, AZ 85027
(623) 581-5532
(623) 236-9360
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008280
AZ
Other
Enumeration date
11/02/2013
Last updated
11/02/2013
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