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Organization

TRU DENTAL LLC

Active
Other names
NA
Organization subpart
No

Provider details

NPI number
Authorized official
LAURA VAUGHN (OWNER)
(623) 210-3416
Entity
Organization

Contact information

Practice address
8325 W. HAPPY VALLEY RD, BUILDING 1 SUITE 100, PEORIA, AZ 85383-8538
(623) 210-3416
Mailing address
26943 N 97TH LN, PEORIA, AZ 85383-2931
(623) 210-3416

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
NA
NA
AZ
Enumeration date
11/20/2019
Last updated
11/20/2019
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