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Organization
PLEASANT VALLEY DENTAL CARE, P.C.
Active
Organization
PLEASANT VALLEY DENTAL CARE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN J CEBULA D.D.S. (PRESIDENT)
(928) 855-5159
Entity
Organization
Contact information
Practice address
2178 MCCULLOCH BLVD N STE 14, LAKE HAVASU CITY, AZ 86403-6869
(928) 855-5159
Mailing address
2178 MCCULLOCH BLVD N STE 14, LAKE HAVASU CITY, AZ 86403-6869
(928) 855-5159
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D5495
AZ
Other
Enumeration date
07/11/2008
Last updated
07/11/2008
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