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Individual

DR. DALLIN RICHARD BIRCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
15715 S 46TH ST, SUITE 104, PHOENIX, AZ 85048-0438
(480) 598-5900
(480) 889-5859
Mailing address
1812 E ERIE ST, CHANDLER, AZ 85225-5249
(520) 285-7110

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D7605
AZ

Other

Enumeration date
07/21/2008
Last updated
08/20/2010
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