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Individual

BRIDGET RAQUEL SWANBERG-AUSTIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
223 CIBEQUE CIRCLE ROAD, SAN CARLOS, AZ 85550
(928) 475-7354
Mailing address
PO BOX 208, SAN CARLOS, AZ 85550-0208
(928) 475-7354

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019-024374
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
524571
AZ
Enumeration date
08/30/2006
Last updated
11/01/2013
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