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Organization
75TH AVE DENTAL STUDIO
Active
Organization
75TH AVE DENTAL STUDIO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANPREET BADYAL DDS (DENTIST)
(480) 205-6961
Entity
Organization
Contact information
Practice address
7025 N 75TH AVE STE 101, GLENDALE, AZ 85303-2545
(480) 205-6961
Mailing address
7025 N 75TH AVE STE 101, GLENDALE, AZ 85303-2545
(480) 205-6961
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
12/30/2021
Last updated
12/30/2021
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