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Organization

ARIZONA DENTAL OMNICARE, LLC

Active
Other names
West Thomas Family Dentistry
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER SLEPAK (OWNER/MANAGER)
(602) 269-5914
Entity
Organization

Contact information

Practice address
4805 W THOMAS RD, STE A, PHOENIX, AZ 85031-4050
(602) 269-5914
(602) 269-0083
Mailing address
4805 W THOMAS RD, STE A, PHOENIX, AZ 85031-4050
(602) 269-5914
(602) 269-0083

Taxonomy

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

Other

Enumeration date
09/26/2007
Last updated
09/26/2007
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