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Individual

DAVID ALLEN FLEMING

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
CORNER OF ROUTE N12 AND N7, FORT DEFIANCE, AZ 86504
(928) 729-8000
Mailing address
26426 SOUTH BEECH CREEK DRIVE, SUN LAKE, AZ 85248
(480) 802-9526

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5000626-015
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5000626-015
LICENSE
WI
Enumeration date
02/15/2007
Last updated
07/08/2007
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