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Organization
LARRY E. MCENTIRE, D.D.S., P. C.
Active
Organization
LARRY E. MCENTIRE, D.D.S., P. C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY E. MCENTIRE D.D.S. (PRESIDENT)
(928) 669-2573
Entity
Organization
Contact information
Practice address
1220 W ARIZONA AVE, PARKER, AZ 85344-5647
(928) 669-2573
(928) 669-5953
Mailing address
8813 BUFFALO CLOUD AVE, LAS VEGAS, NV 89143-5407
(702) 655-2882
(702) 655-7980
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/20/2006
Last updated
09/29/2008
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