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Organization
OCOTILLO LAKES DENTAL HEALTH
Active
Organization
OCOTILLO LAKES DENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA LEE FARNSWORTH (BUSINESS MANAGER)
(480) 283-5854
Entity
Organization
Contact information
Practice address
3200 S ALMA SCHOOL RD STE 103, CHANDLER, AZ 85248-3755
(480) 283-5854
(480) 807-3649
Mailing address
2947 N POWER RD STE 103, MESA, AZ 85215-1750
(480) 283-5854
(480) 807-3649
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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