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Organization

DANTAL DENTAL CORPORATION

Active
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Organization

DANTAL DENTAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAN MOSHE GAFNI D.M.D (PRESIDENT)
(480) 664-1449
Entity
Organization

Contact information

Practice address
500 W SOUTHERN AVE, #1-3, MESA, AZ 85210-5016
(480) 664-1449
Mailing address
500 W SOUTHERN AVE, #1-3, MESA, AZ 85210-5016

Taxonomy

Speciality
Code
Description
License number
State
125K00000X
Advanced Practice Dental Therapist
Primary
8139
AZ

Other

Enumeration date
06/18/2013
Last updated
06/18/2013
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