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Organization
EAST VALLEY DENTAL PROFESSIONALS
Active
Organization
EAST VALLEY DENTAL PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER BRINKMAN-AYERS (OFFICE MANAGER)
(480) 838-3033
Entity
Organization
Contact information
Practice address
2058 S DOBSON RD, SUITE 12, MESA, AZ 85202-6454
(480) 838-3033
(480) 838-5738
Mailing address
2058 S DOBSON RD, SUITE 12, MESA, AZ 85202-6454
(480) 838-3033
(480) 838-5738
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
NULL
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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