Organization
JUSTIN CHURCH DMD PLC
Active
Other names
Yuma Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN CHURCH DMD (DENTIST)
(480) 206-0139
Entity
Organization
Contact information
Practice address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-0289
(928) 782-0289
Mailing address
550 W 16TH ST, YUMA, AZ 85364-4632
(928) 782-0289
(928) 782-0289
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7892
AZ
Other
Enumeration date
10/26/2009
Last updated
11/04/2010
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