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Organization
AZ FAMILY DENTAL PLLC
Active
Organization
AZ FAMILY DENTAL PLLC
Active
Other names
59th Avenue Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW REED PARKER D.M.D. (OWNER)
(801) 602-3985
Entity
Organization
Contact information
Practice address
8519 N 59TH AVE, GLENDALE, AZ 85302-5401
(801) 602-3985
Mailing address
8519 N 59TH AVE, GLENDALE, AZ 85302-5401
(801) 602-3985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008419
AZ
Other
Enumeration date
06/05/2012
Last updated
06/05/2012
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