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Organization
MOSAIC DENTISTRY PC
Active
Organization
MOSAIC DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL PETER DOMINICK III D.D.S. (PRESIDENT/MANAGER)
(480) 821-8284
Entity
Organization
Contact information
Practice address
290 W CHANDLER HEIGHTS RD, SUITE 3, CHANDLER, AZ 85248-5055
(480) 883-0222
(480) 883-0332
Mailing address
2933 S HOLGUIN WAY, CHANDLER, AZ 85286-3906
(480) 821-8284
(480) 821-8284
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5248
AZ
Other
Enumeration date
10/23/2008
Last updated
10/23/2008
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