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Organization

SOUTHWEST DENTAL

Active
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Organization

SOUTHWEST DENTAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA JEANBLANC (MANAGEMENT)
(480) 756-6522
Entity
Organization

Contact information

Practice address
485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
(480) 821-9022
Mailing address
485 S DOBSON RD STE 204, CHANDLER, AZ 85224-5604
(480) 821-9022

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7364
AZ

Other

Enumeration date
08/28/2007
Last updated
08/28/2007
About Stedi
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