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Organization

DENTAMED MANAGEMENT LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENDA LIANA MACSWAN (OWNER)
(818) 577-7367
Entity
Organization

Contact information

Practice address
4517 W BLUEFIELD AVE, GLENDALE, AZ 85308-1513
(818) 577-7367
Mailing address
4517 W BLUEFIELD AVE, GLENDALE, AZ 85308-1513
(818) 577-7367

Taxonomy

Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary

Other

Enumeration date
12/09/2020
Last updated
12/15/2020
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