# JUSTIN CHURCH DMD PLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Yuma Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588990642
- **Authorized official:** DR. JUSTIN CHURCH DMD (DENTIST)
- **Authorized official phone:** (480) 206-0139

## Contact information

- **Practice address:** 550 W 16TH ST, YUMA, AZ 85364-4632
- **Practice address phone:** (928) 782-0289
- **Practice address fax:** (928) 782-0289
- **Mailing address:** 550 W 16TH ST, YUMA, AZ 85364-4632
- **Mailing address phone:** (928) 782-0289
- **Mailing address fax:** (928) 782-0289

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 7892 | AZ | Yes |

## Other

- **Enumeration date:** 10/26/2009
- **Last updated:** 11/04/2010