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Organization

LUX AVONDALE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SALVATORE PERNA DDS (DENTIST)
(623) 243-9610
Entity
Organization

Contact information

Practice address
10320 W MCDOWELL RD, BLD A SUITE 1001, AVONDALE, AZ 85392-4863
(623) 243-9610
(623) 249-6267
Mailing address
10320 W MCDOWELL RD, BLD A SUITE 1001, AVONDALE, AZ 85392-4863
(623) 243-9610
(623) 249-6267

Taxonomy

Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
D06416
AZ

Other

Enumeration date
11/04/2015
Last updated
11/04/2015
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