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Organization
PWR DENTAL, LLC
Active
Organization
PWR DENTAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY LECUYER RDH (OWNER/RDH)
(802) 922-8486
Entity
Organization
Contact information
Practice address
1545 S POWER RD STE 112, MESA, AZ 85206-3736
(802) 922-8486
Mailing address
20071 E ESCALANTE RD, QUEEN CREEK, AZ 85142-9815
(802) 922-8486
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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