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Organization
PEORIA DENTAL CENTER GROUP, LLC
Active
Organization
PEORIA DENTAL CENTER GROUP, LLC
Active
Other names
Peoria Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RASOUL SALIM (OWNER)
(623) 877-5700
Entity
Organization
Contact information
Practice address
8914 N 91ST AVE STE 115, PEORIA, AZ 85345-8390
(623) 877-5700
Mailing address
8914 N 91ST AVE STE 115, PEORIA, AZ 85345-8390
(623) 877-5700
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
03/01/2012
Last updated
03/01/2012
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