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Organization
JUSTIN CHURCH DMD PLC
Active
Organization
JUSTIN CHURCH DMD PLC
Active
Other names
Yuma Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHURCH DMD (DENTIST)
(480) 206-0139
Entity
Organization
Contact information
Practice address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-0289
(928) 782-0289
Mailing address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-0289
(928) 782-0289
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7892
AZ
Other
Enumeration date
10/26/2009
Last updated
11/04/2010
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