# JUSTIN CHURCH DMD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yuma Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174824619
- **Authorized official:** DR. JUSTIN CHURCH D.M.D. (DENTIST)
- **Authorized official phone:** (480) 206-0139

## Contact information

- **Practice address:** 2540 S 4TH AVE, YUMA, AZ 85364-7286
- **Practice address phone:** (928) 344-5700
- **Practice address fax:** (928) 344-3645
- **Mailing address:** 2540 S 4TH AVE, YUMA, AZ 85364-7286
- **Mailing address phone:** (928) 344-5700
- **Mailing address fax:** (928) 344-3645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7892 | AZ | Yes |

## Other

- **Enumeration date:** 11/16/2010
- **Last updated:** 11/16/2010