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Organization

DOUGLAS DENTAL, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ANGELA MARIA BEJARANO (ACCOUNTS RECEIVABLE)
(520) 459-3067
Entity
Organization

Contact information

Practice address
1915 E 10TH ST, DOUGLAS, AZ 85607-2407
(520) 459-3067
(520) 459-0113
Mailing address
1915 E 10TH ST, DOUGLAS, AZ 85607-2407
(520) 459-3067
(520) 459-0113

Taxonomy

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

Other

Enumeration date
12/03/2008
Last updated
12/03/2008
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