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Individual

CYNTHIA FAYE OBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1904 W PARKSIDE LN, SUITE 201, PHOENIX, AZ 85027-1228
(623) 434-9343
(623) 321-6268
Mailing address
10737 E MISSION LN, SCOTTSDALE, AZ 85258-6139
(623) 434-9343
(623) 321-6268

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
51397
CA
1223G0001X
General Practice Dentistry
Primary
D24420
AZ
1223G0001X
General Practice Dentistry
D5477
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
097106
AZ
Enumeration date
06/04/2006
Last updated
08/06/2009
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