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Organization

YUMA DENTAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JUSTIN CHURCH DMD (OWNER)
(480) 206-0139
Entity
Organization

Contact information

Practice address
2540 S 4TH AVE, YUMA, AZ 85364-7286
(928) 344-5700
Mailing address
2540 S 4TH AVE, YUMA, AZ 85364-7286
(928) 344-5700

Taxonomy

Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
7892
AZ

Other

Enumeration date
07/22/2013
Last updated
07/22/2013
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