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Organization
ARIZONA DENTAL OMNICARE, LLC
Active
Organization
ARIZONA DENTAL OMNICARE, LLC
Active
Other names
West Thomas Family Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER SLEPAK (OWNER/MANAGER)
(602) 269-5914
Entity
Organization
Contact information
Practice address
4805 W THOMAS RD, STE A, PHOENIX, AZ 85031-4050
(602) 269-5914
(602) 269-0083
Mailing address
4805 W THOMAS RD, STE A, PHOENIX, AZ 85031-4050
(602) 269-5914
(602) 269-0083
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/26/2007
Last updated
09/26/2007
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