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Organization
JUSTIN CHURCH DMD PLC
Active
Organization
JUSTIN CHURCH DMD PLC
Active
Other names
Yuma Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHURCH D.M.D. (DENTIST)
(480) 206-0139
Entity
Organization
Contact information
Practice address
2540 S 4TH AVE, YUMA, AZ 85364-7286
(928) 344-5700
(928) 344-3645
Mailing address
2540 S 4TH AVE, YUMA, AZ 85364-7286
(928) 344-5700
(928) 344-3645
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7892
AZ
Other
Enumeration date
11/16/2010
Last updated
11/16/2010
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