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Organization
MEGUMI MANAGEMENT LLC
Active
Organization
MEGUMI MANAGEMENT LLC
Active
Other names
Westbrook Village Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KIM MACK RDH, MBA (OWNER)
(480) 231-7020
Entity
Organization
Contact information
Practice address
8639 W UNION HILLS DR, PEORIA, AZ 85382-7000
(623) 876-1777
(623) 974-4974
Mailing address
8639 W UNION HILLS DR, PEORIA, AZ 85382-7000
(623) 876-1777
(623) 974-4974
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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