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Organization
PEORIA DENTAL1 LLC
Active
Organization
PEORIA DENTAL1 LLC
Active
Other names
C R Smiles Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONA KAUBLE (OFFICE MANAGER)
(623) 362-8200
Entity
Organization
Contact information
Practice address
8285 W UNION HILLS DR STE 103, GLENDALE, AZ 85308-0511
(623) 362-8200
Mailing address
8285 W UNION HILLS DR STE 103, GLENDALE, AZ 85308-0511
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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