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Organization
OKUN FAMILY DENTAL LLC
Active
Organization
OKUN FAMILY DENTAL LLC
Active
Other names
Okun Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
FAITH GASKINS (DIRECTOR OF CREDENTIALING)
(972) 869-3789
Entity
Organization
Contact information
Practice address
1050 E SOUTHERN AVE STE B1, TEMPE, AZ 85282-5410
(480) 967-8763
Mailing address
1050 E SOUTHERN AVE STE B1, TEMPE, AZ 85282-5410
(480) 967-8763
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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