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Organization
1ST DENTAL CARE, LLC
Active
Organization
1ST DENTAL CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LONG K BUI D.D.S. (OWNER)
(520) 459-5166
Entity
Organization
Contact information
Practice address
1150 S. HIGHWAY 92,, SUITE A, SIERRA VISTA, AZ 85635
(520) 459-5166
(520) 458-8425
Mailing address
1150 S. HIGHWAY 92,, SUITE A, SIERRA VISTA, AZ 85635
(520) 459-5166
(520) 458-8425
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
D06074
AZ
1223G0001X
General Practice Dentistry
Primary
D5764
AZ
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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